Julie Posted Sun 04th of August, 2013 23:17:30 PM
How would the following scenario be coded?
Emphysema/ COPD + chronic bronchitis + asthma
SuperCoder Answered Mon 05th of August, 2013 19:52:33 PM
Emphysema w chronic bronchitis: 491.20 Obstructive chronic bronchitis without exacerbation
Unspecified asthma: 493.90 Asthma unspecified
For more information, see Section I.C.8 of the official guidelines: http://www.cdc.gov/nchs/data/icd9/icd9cm_guidelines_2011.pdf
The guidelines include information such as, “The conditions that comprise COPD are obstructive chronic bronchitis, subcategory 491.2, and emphysema, category 492. All asthma codes are under category 493, Asthma. Code 496, Chronic airway obstruction, not elsewhere classified, is a nonspecific code that should only be used when the documentation in a medical record does not specify the type of COPD being treated.”