AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor
Exacerbation of Chronic Obstructive Pulmonary Disease and Emphysema
A patient diagnosed with emphysema presented with an acute exacerbation of chronic obstructive pulmonary disease (COPD). How is a final diagnosis of COPD exacerbation with emphysema coded? Both codes have mutually exclusive Excludes1 notes, so we are unsure which code is appropriate. ...
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Article Overview
This short coding article explains how a diagnosis involving chronic obstructive pulmonary disease exacerbation and emphysema is approached in ICD-10-CM. It is aimed at medical coders, auditors, and billing staff who need to understand the classification issue raised by mutually exclusive notes and the related respiratory diagnosis category.
Why This Topic Matters
It helps readers recognize how a respiratory diagnosis scenario may be interpreted within ICD-10-CM so claims and documentation review can be aligned with the correct diagnosis category.
What You Will Learn
- How the article frames the coding question for a COPD exacerbation with emphysema scenario.
- How the discussion relates the diagnosis to ICD-10-CM respiratory classification concepts.
- Why the article highlights the relationship between COPD, chronic bronchitis, and emphysema in coding review.
- What type of coding issue is raised by mutually exclusive notes.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Clinical documentation specialists
Codes Discussed
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