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Home/Diagnosis/ICD-10 Coding for COPD and Emphysema

ICD-10 Coding for COPD and Emphysema

J43.9
J44.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for copd and emphysema includes clinical validation requirements, medical necessity guidelines, and coding policies.

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

Essential facts and insights about ICD-10 Coding for COPD and Emphysema

Use ICD-10 code J43.9 for emphysema, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Emphysema, unspecified

Billable Code
J43.9
Billable

Diagnostic Criteria

clinical:
  • • CT findings consistent with emphysema
documentation:
  • • Explicit mention of 'emphysema' in the medical record

Applicable To

  • • Pulmonary emphysema

Important Notes

  • • Emphysema should be coded over COPD when both are documented.

Chronic obstructive pulmonary disease with (acute) exacerbation

Billable Code
J44.1
Billable

Diagnostic Criteria

clinical:
  • • Increased dyspnea and sputum production
  • • Acute change in oxygen requirement

Applicable To

  • • COPD with acute exacerbation

Important Notes

  • • Ensure documentation supports acute exacerbation criteria.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z87.891

Personal history of nicotine dependence

Use to document history of smoking, which is relevant for emphysema.

J20.9

Acute bronchitis, unspecified

Use if acute bronchitis is present during COPD exacerbation.

Frequently Asked Questions

What is the ICD-10 code for COPD with emphysema?

The ICD-10 code for emphysema is J43.9, which should be used when emphysema is documented, even if COPD is also present.

How do you code COPD exacerbation?

For COPD exacerbation, use code J44.1, provided there are documented acute symptoms such as increased dyspnea or sputum production.

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