Coding Rules Current as at 18-Oct-2016 08: 31

Carrier (suspected) of

- bacterial disease NEC Z22.3

 To add further specificity, assign R76.1 Abnormal reaction to tuberculin test by following the index pathway:

 Test(s)

- tuberculin, abnormal result R76.1

 Enhancements to ICD-10-AM will be considered for a future edition.

References:

World Health Organization. (2015). Guidelines on the management of latent tuberculosis infection (WHO reference number: WHO/HTM/TB/2015.01). Retrieved from http://www.who.int/tb/publications/ltbi_document_page/en/

Published 15 June 2015,
for implementation 01 July 2015.

Ref No: Q2934 | Published On: 15-Jun-2015 | Status: Current

SUBJECT: Acute bronchitis with COPD

Q:

How do you code acute streptococcal bronchitis with chronic obstructive pulmonary disease?

A:

In ICD-10-AM, acute bronchitis is classified to J20-J22 Other acute lower respiratory infections, which excludes J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection. Chronic obstructive pulmonary disease (COPD) includes chronic bronchitis with obstruction, therefore J44.0 classifies acute on chronic bronchitis with obstruction.

ACS 1008 Chronic obstructive pulmonary disease (COPD) states:

Infective exacerbation of COPD does not require an additional code to reflect the infective description unless the infective condition is a condition in its own right, such as pneumonia (see COPD with pneumonia). If there is no documented infective disorder, a diagnosis of 'infective exacerbation of COPD' or 'chest infection exacerbating COPD' should be assigned the code J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection.

Where there is documentation of acute bronchitis due to a specific organism (eg acute streptococcal bronchitis) exacerbating COPD, assign the following codes:

J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection

B95.5 Unspecified streptococcus as the cause of diseases classified to other chapters

by following the above guidelines in ACS 1008 and the index pathways:

Bronchitis

- with

- - obstruction (airway) (lung) J44.8

- - - with (acute)

- - - - exacerbation NEC J44.1

- - - - - infective J44.0

- - - - lower respiratory infection J44.0 

Infection

- Streptococcus, streptococcal NEC A49.1

- - as cause of disease classified elsewhere B95.5

A review of ACS 1008 Chronic obstructive pulmonary disease (COPD) will be considered for a future edition.