tci ED Coding & Reimbursement Alert - 2017 Issue 8

Reader Question: Use Secondary Dx for COPD, Bronchitis

Question: A patient presented to the ED who has chronic COPD and we diagnosed him with bronchitis. Our ED physician wants to only report J44.0 (Chronic obstructive pulmonary disease with acute lower respiratory infection) but the coder wants to report additional codes. Who is correct? Supercoder.com Subscriber Answer: The coder is correct in this case. When your physician documents both COPD and an episode of acute bronchitis, you should sequence J44.0 first, but you’ll need to add an additional code to identify the infection, if known. This is due to the instruction for J44.0...

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