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AHA Coding Clinic® for ICD-9 - 2004 Issue 1; Ask the Editor

Acute Bronchitis with Chronic Obstructive Pulmonary Disease (COPD)

The physician has documented the patient to have chronic obstructive pulmonary disease (COPD) and acute bronchitis. We would like clarification on whether the documentation has to specifically read “acute exacerbation of COPD” before we can assign code 491.21, Obstructive chronic bronchitis, with (acute) exacerbation. Also, in light of the October 2003 tabular and index changes, what code(s) should be assigned for this patient? ...

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