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Home/Diagnosis/ICD-10 Coding for Asthma with Acute Exacerbation

ICD-10 Coding for Asthma with Acute Exacerbation

J45.21
J45.31
J45.41

Complete ICD-10-CM coding and documentation guide for icd-10 coding for asthma with acute exacerbation includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Asthma Attack
Asthma Flare-up
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Key Information: ICD-10 Coding for Asthma with Acute Exacerbation

Essential facts and insights about ICD-10 Coding for Asthma with Acute Exacerbation

Use ICD-10 code J45.21 for mild intermittent asthma with acute exacerbation, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Mild intermittent asthma with acute exacerbation

Billable Code
J45.21
Billable

Diagnostic Criteria

  • • Patient presents with increased symptoms and requires more frequent use of rescue inhaler.

Applicable To

  • • Mild intermittent asthma with acute exacerbation

Important Notes

  • • Ensure documentation specifies 'acute exacerbation' and not just 'flare-up'.

Mild persistent asthma with acute exacerbation

Billable Code
J45.31
Billable

Diagnostic Criteria

  • • Daily symptoms with nighttime awakenings
  • • Increased use of oral steroids

Applicable To

  • • Mild persistent asthma with acute exacerbation

Important Notes

  • • Ensure documentation includes symptom frequency and exacerbation triggers.

Moderate persistent asthma with acute exacerbation

Billable Code
J45.41
Billable

Diagnostic Criteria

  • • Increased rescue inhaler use
  • • PEF <60% of personal best

Applicable To

  • • Moderate persistent asthma with acute exacerbation

Important Notes

  • • Document the increase in medication use and any changes in peak flow measurements.

Severe persistent asthma with acute exacerbation

Billable Code
J45.51
Billable

Diagnostic Criteria

  • • Status asthmaticus unresponsive to nebulizers
  • • Requires ICU admission

Applicable To

  • • Severe persistent asthma with acute exacerbation

Important Notes

  • • Ensure documentation reflects the severity and need for intensive treatment.

Unspecified asthma with acute exacerbation

Billable Code
J45.901
Billable

Diagnostic Criteria

  • • Lack of specific severity documentation

Applicable To

  • • Unspecified asthma with acute exacerbation

Important Notes

  • • Query provider for severity to avoid using unspecified codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

R06.02

Shortness of breath

Use if shortness of breath is not integral to the asthma exacerbation.

J30.1

Allergic rhinitis

Use if the exacerbation is triggered by allergens.

R05

Cough

Use if cough is not integral to the asthma exacerbation.

J20.9

Acute bronchitis

Use if bronchitis is a trigger for the exacerbation.

Frequently Asked Questions

What is the ICD-10 code for asthma with acute exacerbation?

The ICD-10 code for asthma with acute exacerbation varies by severity: J45.21 for mild intermittent, J45.31 for mild persistent, J45.41 for moderate persistent, and J45.51 for severe persistent.

How do you document asthma with acute exacerbation?

Document the severity of asthma, triggers, and response to treatment. Include peak flow measurements and any changes in medication use.

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