tci Outpatient Facility Coding Alert - 2019 Issue 5

Reader Question: Report Single Code for COPD, Bronchiectasis Dx Combo

Question: What is the ICD-10-CM code to report for chronic obstructive pulmonary disease (COPD) with bronchiectasis? Colorado Subscriber Answer: When documented as individual diagnoses from the same encounter, you would code COPD as J44.9 (Chronic obstructive pulmonary disease, unspecified) and bronchiectasis as J47.9 (Bronchiectasis NOS). However, as long as you take the appropriate steps in finding each respective code in the tabular, you’ll see that you should only be reporting one final diagnosis code. That becomes clear when you have a look at code J44.9 in the ICD-10-CM tabular. While there are no specific notes...

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