COPD, without exacerbation: Difference between revisions
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== Additional Info == | == Additional Info == | ||
*COPD refers to a group of lung disorders which have similar clinical presentation and course but different histopathological appearances (i.e. how they look under the microscope). Primarily COPD is a combination of "pulmonary emphysema" and "chronic bronchitis", with many or most patients having histopathological characteristics of both. | *COPD refers to a group of lung disorders which have similar clinical presentation and course but different histopathological appearances (i.e. how they look under the microscope). Primarily COPD is a combination of "pulmonary emphysema" and "chronic bronchitis", with many or most patients having histopathological characteristics of both. | ||
*A potentially BIG source confusion is that the "Chronic bronchitis" | *A potentially BIG source of confusion is that the "Chronic bronchitis" which is a form of COPD, is '''DIFFERENT''' from '''[[Bronchitis, chronic, infectious or noninfectious]]'''. | ||
**Part of the reason this | **Part of the reason for this confusion is that sometimes clinicians use "Chronic bronchitis" and "COPD" interchangeably if a patient is the so-called "blue bloater" phenotype of COPD. | ||
** | **use '''[[COPD, without exacerbation]]''' or '''[[COPD, acute exacerbation]]''' if a diagnosis is chronic bronchitis and there is a PRESENCE of COPD. | ||
** | **use '''[[Bronchitis, chronic, infectious or noninfectious]]''' if there is an ABSENCE of COPD. | ||
{{DiscussAllan | | {{DiscussAllan | | ||
*J44.8 why would we include this code for a Dx of '''emphysema''' when there is already a very specific code and show below J43.9? also, why would [[Bronchitis]] need this code also, as we already have it mapped to 3 other options in IDC10? I do not see how collectors will be able to be consistent with all these double coding options. | *J44.8 why would we include this code for a Dx of '''emphysema''' when there is already a very specific code and show below J43.9? also, why would [[Bronchitis]] need this code also, as we already have it mapped to 3 other options in IDC10? I do not see how collectors will be able to be consistent with all these double coding options. | ||
** AG REPLY --- see my edits of this page and of [[Bronchitis, chronic, infectious or noninfectious]] | ** AG REPLY --- see my edits of this page and of [[Bronchitis, chronic, infectious or noninfectious]] | ||
*** emailed Trish to confirm this addresses her question. }} | *** emailed Trish to confirm this addresses her question. | ||
****thank you for the response. The issue will still be if clinicians are not clear on a chart as you pointed out, then collectors will not be able to acertain what is correct. }} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
Revision as of 19:18, 26 April 2018
| ICD10 Diagnosis | |
| Dx: | COPD, without exacerbation |
| ICD10 code: | J44.8 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- COPD refers to a group of lung disorders which have similar clinical presentation and course but different histopathological appearances (i.e. how they look under the microscope). Primarily COPD is a combination of "pulmonary emphysema" and "chronic bronchitis", with many or most patients having histopathological characteristics of both.
- A potentially BIG source of confusion is that the "Chronic bronchitis" which is a form of COPD, is DIFFERENT from Bronchitis, chronic, infectious or noninfectious.
- Part of the reason for this confusion is that sometimes clinicians use "Chronic bronchitis" and "COPD" interchangeably if a patient is the so-called "blue bloater" phenotype of COPD.
- use COPD, without exacerbation or COPD, acute exacerbation if a diagnosis is chronic bronchitis and there is a PRESENCE of COPD.
- use Bronchitis, chronic, infectious or noninfectious if there is an ABSENCE of COPD.
Alternate ICD10s to consider coding instead or in addition
- COPD, acute exacerbation
- Pulmonary emphysema or bullous disease without COPD J43.9
- Emphysema, mediastinal or interstitial
- Bronchitis, acute or chronic not specified, infectious or noninfectious J40
- Bronchitis, chronic, infectious or noninfectious J42
Candidate Combined ICD10 codes
Related CCI Codes
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