tci ED Coding & Reimbursement Alert - 2007 Issue 7

Acute Conditions Essential to Correct COPD ICD-9 Coding

Status asthmaticus diagnosis trumps any COPD the patient may haveWhen a patient presents to the ED with asthma or bronchitis along with symptoms of chronic obstructive pulmonary disease (COPD), you-ll need to check the physician's notes in order to choose the correct diagnosis code from the ICD-9 manual. Making sure the documentation supports the physician's diagnosis--and that you code for any associated acute conditions--will ensure that you-re correctly reporting lung diagnoses. Look to 493 for Asthma Associated With COPD When choosing a diagnosis code for a patient with asthma and COPD, you-ll need to go to the 493.x...

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