COPD

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:COPD, acute exacerbation, COPD, without exacerbation

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Category/Organ System:	Category: Respiratory Problems (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	COPD
Sub Diagnosis:
Diagnosis Code:	300
Comorbid Diagnosis:	Charlson Comorbid Diagnosis 387 - COPD mild - 1pt 388 - COPD moderate - 1pt 389 - COPD severe - 1pt
Charlson Comorbid coding (pre ICD10):	1
Program:	CC & Med
Status:	Currently Collected

Diagnosis

• Acute exacerbation of COPD (Chronic Obstructive Pulmonary Disease
• "The following 4 conditions comprise COPD (page 145, Faye Brown's ICD-9-CM 2005 Coding Handbook):
  • Chronic obstructive asthma
  • Chronic obstructive bronchitis
  • Emphysema
  • Chronic bronchitis with emphysema

Please note the very specific names of these diseases. They are not just simple asthma or simple bronchitis. The words, called modifiers, of "chronic" and "obstructive" that are paired with them are an extremely important part of the diagnostic name."

Comorbid

COPD is a Charlson Comorbid Diagnosis that gives charlson points and will be automatically prioritized for sending.

severe

• Dyspneic AT REST despite treatment with steriods, puffers ""OR""patient is on home O2 (oxygen) "OR" patient has been intubated or had a trach inserted in past history due to exacerbation.

moderate

• Dyspneic with slight or moderate activity. Requires treatment with steriods or puffer.

mild

• Dyspneic with moderate activity without treatment or "attacks"