Ch. 10 - J Codes | Respiratory Diseases Flashcards
Three different states of COPD described in the ICD-10-CM
- with (acute) lower respiratory infection
- with (acute) exacerbation
- other specified
Codes for the three states + unspecified
with (acute) LRI : J44.0
with (acute) exacerbation : J44.1
Other specified : J44.8
Unspecified : J44.9
What do the conditions under COPD result in?
Variety of conditions that result in AIRWAY OBSTRUCTION
Most common LRIs
Pneumonia and acute bronchitis
When can Acute Respiratory Failure be first-listed?
When it meeds the RFE criteria.
When is ARF reported as additional diagnosis?
Not present on admission / occurred after admission.
and
Does not meet first-listed definition
Category code for influenza due to CERTAIN identified influenza viruses
J09
Category code for influenza due to OTHER identified influenza virus
J10
Category code for influenza due to UNIDENTIFIED influenza virus
J11
Novel viruses are
J09
Human to human flu transmission (what J code and description)
J11 - OTHER identified flu virus
Animal to human transmission | our bodies are not used to this virus.
Category code and its description
J10 - CERTAIN identified flu viruses
Flu + of uncertain origin (e.g. probable, possible) = what category code
J11
VAP means
Ventilator Associated Pneumonia
When to code for VAP
Only when documented
Code for VAP
J95.851
Documented VAP code stacking
[1] VAP
[2] Organism code if known (B code)
VAP developed during hospital stay, how will it be coded?
[1] J code - appropriate during time of admission
[2] J95.851 - VAP code
Which COPD has an “excludes 2” guideline?
Description and code
with exacerbation - J44.1
Which COPD code has a “code also” guideline”?
with LRI
What is J44.0’s “code also”?
Specific infection identified
COPD with LRI
J44.0
COPD with (acute) exacerbation
J44.1
Other specified COPD
J44.8
Unspecified COPD
J44.9
Has a code also guideline
J44.0
Has an “excludes 2” guideline
J44.1
