Share |

3 Pulmonary Diagnosis Coding Tips

Posted on 20. Jul, 2009 by in Hot Coding Topics

Remember to focus on acute conditions & exacerbations.

Correctly reporting asthma, bronchitis, and chronic obstructive pulmonary disease (COPD) depends on the internist’s documentation and the patient’s medical record. Making sure the documentation supports the patient’s diagnosis and that you code for any associated acute conditions will ensure that you’re correctly reporting pulmonary diagnoses.

1. Look to 493 for Asthma With COPD

One condition that can be associated with asthma is COPD. You can find all of the asthma codes in the 493 category of the ICD-9 codes. When your physician diagnoses both COPD and asthma together, you’ll refer to his documentation in the medical record to settle on a code. The three asthma codes you’ll choose from are:

• 493.20 — Chronic obstructive asthma; unspecified

• 493.21 — … with status asthmaticus

• 493.22 — … with (acute) exacerbation.

Note: Most payers don’t like unspecified codes such as 493.20,...

Signup to read articles and receive SuperCoder Bolt Newsletter

Register for Article Access
Access our articles and receive SuperCoder Bolt Newsletter.
You will also receive
  • Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
  • Discounts on 3rd party offers
SuperCoder Bolt
You must have javascript enabled to use this form

If you've already signed in and are still seeing this screen, click here to refresh the page.

Tags: , , , , , , , , , , , , , ,