tci Outpatient Facility Coding Alert - 2016 Issue 5

Reader Question: Nebulizer Usage Helps Determine Asthma Diagnosis

Question: How will you code asthma in ICD-10? Ohio Subscriber Answer: The codes from ICD-9 family 493 crosswalk in ICD-10 to J45 (Asthma). In order to assign the best code, follow the severity of the symptoms and the necessity of nebulizer treatment determine the correct diagnosis code. This is consistent with the current national asthma treatment guidelines determined by The National Heart, Lung and Blood Institute. Focus on the asthma’s severity, based on the following four states: Mild intermittent Mild persistent Moderate persistent Severe persistent. Pay attention to your physician’s note to assess the severity of the...

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