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Home/Diagnosis/ICD-10 Coding for Chronic Obstructive Pulmonary Disease

ICD-10 Coding for Chronic Obstructive Pulmonary Disease

J44.0
J44.1
J44.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic obstructive pulmonary disease includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
COPD
Chronic Obstructive Lung Disease
Chronic Bronchitis
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Key Information: ICD-10 Coding for Chronic Obstructive Pulmonary Disease

Essential facts and insights about ICD-10 Coding for Chronic Obstructive Pulmonary Disease

Use ICD-10 code J44.0 for chronic obstructive pulmonary disease with acute lower respiratory infection, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic obstructive pulmonary disease with acute lower respiratory infection

Billable Code
J44.0
Billable

Diagnostic Criteria

  • • Presence of acute lower respiratory infection

Applicable To

  • • COPD with pneumonia
  • • COPD with bronchitis

Important Notes

  • • Always sequence J44.0 before the infection code.

Chronic obstructive pulmonary disease with acute exacerbation

Billable Code
J44.1
Billable

Diagnostic Criteria

  • • Increased dyspnea or sputum production
  • • Requirement for steroids or bronchodilators

Applicable To

  • • COPD exacerbation

Important Notes

  • • Ensure documentation specifies exacerbation details.

Chronic obstructive pulmonary disease, unspecified

Billable Code
J44.9
Billable

Diagnostic Criteria

  • • General COPD diagnosis without specifics

Applicable To

  • • COPD NOS

Important Notes

  • • Ensure documentation supports the unspecified nature of the diagnosis.

Centrilobular emphysema

Billable Code
J43.2
Billable

Diagnostic Criteria

  • • CT scan confirming centrilobular emphysema

Applicable To

  • • Centrilobular emphysema

Important Notes

  • • Do not code with J44.9 post-2024 if emphysema is specified.
Ancillary Codes

Additional codes that may be used with this diagnosis

J18.9

Pneumonia, unspecified organism

Use with J44.0 to specify the type of pneumonia.

Frequently Asked Questions

How do you code COPD with pneumonia?

For COPD with pneumonia, use J44.0 for COPD with acute lower respiratory infection, followed by the specific pneumonia code, ensuring correct sequencing.

What is the ICD-10 code for COPD exacerbation?

The ICD-10 code for COPD exacerbation is J44.1, used when the exacerbation is the primary focus of treatment.

Can COPD and emphysema be coded together?

Post-2024, code only emphysema if specified, without chronic bronchitis, using J43.2, not alongside J44.9.

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