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Home/Diagnosis/ICD-10 Coding for Severe Asthma

ICD-10 Coding for Severe Asthma

J45.50
J45.51
J45.52

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

Also Known as:
Severe Persistent Asthma
Chronic Severe Asthma
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Key Information: ICD-10 Coding for Severe Asthma

Essential facts and insights about ICD-10 Coding for Severe Asthma

Use ICD-10 code J45.50 for severe persistent asthma, uncomplicated, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Severe persistent asthma, uncomplicated

Billable Code
J45.50
Billable

Diagnostic Criteria

  • • Documented FEV1 <60% predicted without exacerbation

Applicable To

  • • Severe persistent asthma without acute exacerbation or status asthmaticus

Important Notes

  • • Ensure documentation specifies 'severe persistent' to avoid unspecified coding.

Severe persistent asthma with (acute) exacerbation

Billable Code
J45.51
Billable

Diagnostic Criteria

  • • FEV1 <60% predicted
  • • Acute exacerbation requiring increased medication

Applicable To

  • • Severe persistent asthma with acute exacerbation

Important Notes

  • • Ensure exacerbation is clearly documented to support this code.

Severe persistent asthma with status asthmaticus

Billable Code
J45.52
Billable

Diagnostic Criteria

  • • Status asthmaticus requiring intensive treatment

Applicable To

  • • Severe persistent asthma with status asthmaticus

Important Notes

  • • Prioritize J45.52 over J45.51 if both conditions are present.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z77.22

Exposure to air pollution

Use when asthma is exacerbated by environmental factors like pollution.

Z79.52

Long-term (current) use of systemic steroids

Use when patient is on long-term steroid therapy.

Z57.31

Occupational exposure to environmental tobacco smoke

Use when asthma is exacerbated by occupational exposure.

Frequently Asked Questions

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

The ICD-10 code for severe asthma with exacerbation is J45.51. It is used when severe persistent asthma is documented with an acute exacerbation.

How do you code severe asthma with status asthmaticus?

For severe asthma with status asthmaticus, use ICD-10 code J45.52. This code is prioritized over exacerbation if both conditions are present.

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