You’ll still have 7 choices to consider.
Chronic obstructive pulmonary disease (COPD) is one condition that can complicate surgeries and lead to more intensive work for the anesthesiologist. The good news from a coding perspective is that ICD-10’s options for the condition are very similar to the codes you used under ICD-9.
The seven base COPD codes in ICD-9 were:
ICD-10 versions: Now you’ll turn to the following base codes:
Note that while the ICD-9 codes expanded up to five digits, you’ll need to go out to a fifth or even a sixth character for more specificity in ICD-10.
Heads up: Some coding confusion may ensue when a code excludes a complication. If you have a patient that has COPD with a complication of acute bronchitis, you will use J44.0 (Chronic obstructive pulmonary disease with acute lower respiratory infection), but you will also need J20.- (Acute bronchitis, …).
“With all the specificity needed for ICD-10, looking at these respiratory issues shows that we had the specificity needed for ICD-10 in ICD-9,” says Suzan Hauptman, MPM, CPC, CEMC, CEDC, director of coding operations at Allegheny Health Network in Pittsburgh, Pa. “For a many physicians, the transition from one set to the other will be a smooth transition.”