COPD, without exacerbation: Difference between revisions
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**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. | **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. | ||
===Coding instruction === | ===Coding instruction === | ||
*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 == | == Alternate ICD10s to consider coding instead or in addition == | ||
Revision as of 10:59, 7 May 2018
| ICD10 Diagnosis | |
| Dx: | COPD, without exacerbation |
| ICD10 code: | J44.8 |
| Pre-ICD10 counterpart: | COPD |
| Charlson/ALERT Scale: | Chronic pulmonary disease |
| APACHE Como Component: | Respiratory |
| APACHE Acute Component: | 2019-0: COPD |
| Start Date: | |
| Stop Date: | |
| 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.
Coding instruction
- 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
Related Articles
Show all ICD10 Subcategories