ICD-10 Coding for History of Asthma(Z87.891)
Complete ICD-10-CM coding and documentation guide for History of Asthma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Asthma
Key Information: ICD-10 code for history of asthma
Essential facts and insights about History of Asthma
Primary ICD-10-CM Code for history of asthma
Decision Criteria
clinical Criteria
- Patient has no current asthma symptoms or treatment.
documentation Criteria
- Documented history of asthma with resolved status.
Applicable To
- History of asthma
Excludes
- Current asthma (J45.x)
Clinical Validation Requirements
- No current asthma symptoms
- No active asthma treatment
- Normal spirometry results
Code-Specific Risks
- Incorrectly using this code for active asthma cases
Coding Notes
- Ensure documentation clearly states the absence of current symptoms or treatment.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Asthma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.891.
Impact
Clinical: Misrepresentation of patient's current health status., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document current symptom status, Review patient history thoroughly
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure the patient has no current symptoms or treatment before using Z87.891.
Impact
Risk of coding historical asthma as active.
Mitigation Strategy
Ensure thorough documentation review and training.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for History of Asthma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Asthma
Use these documentation templates to ensure complete and accurate documentation for History of Asthma. These templates include all required elements for proper coding and billing.
Documenting resolved asthma
Specialty: Primary CareRequired Elements
- Patient history
- Current symptom status
- Spirometry results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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