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Home/Diagnosis/ICD-10 Coding for Severe COPD

ICD-10 Coding for Severe COPD

J44.1
J44.0
J96.11

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

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

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

Use ICD-10 code J44.1 for chronic obstructive pulmonary disease with (acute) exacerbation, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic obstructive pulmonary disease with (acute) exacerbation

Billable Code
J44.1
Billable

Diagnostic Criteria

  • • Presence of acute exacerbation symptoms

Applicable To

  • • COPD with acute exacerbation

Important Notes

  • • Sequence J44.1 before infection codes when present.

Chronic obstructive pulmonary disease with acute lower respiratory infection

Billable Code
J44.0
Billable

Diagnostic Criteria

  • • New fever, chest X-ray infiltrates
  • • CRP >50 mg/L

Applicable To

  • • COPD with acute lower respiratory infection

Important Notes

  • • Code J44.0 first, then the infectious organism code.

Chronic respiratory failure with hypoxia

Billable Code
J96.11
Billable

Diagnostic Criteria

  • • O2 saturation ≤88% on room air
  • • PaO2 <60 mmHg

Applicable To

  • • Chronic respiratory failure with hypoxia

Important Notes

  • • Ensure chronic nature of respiratory failure is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.3

H. influenzae as the cause of diseases classified elsewhere

Use when H. influenzae is confirmed as the infectious agent.

B95.3

Streptococcus pneumoniae as the cause of diseases classified elsewhere

Use when Streptococcus pneumoniae is confirmed as the infectious agent.

Frequently Asked Questions

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

The ICD-10 code for severe COPD with acute exacerbation is J44.1. Ensure documentation specifies the acute nature of the exacerbation.

How do you code COPD with respiratory failure?

For COPD with chronic respiratory failure, use J44.1 and J96.11. Document hypoxia and link it to COPD for accurate coding.

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