ICD-10 Coding for Mild Intermittent Asthma Without Complication(J45.20)
Complete ICD-10-CM coding and documentation guide for Mild Intermittent Asthma Without Complication. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mild Intermittent Asthma Without Complication
J45-J46Primary Range
Asthma and Status Asthmaticus
This range includes all types of asthma, with J45.20 specifically for mild intermittent asthma without complications.
Key Information: ICD-10 code for mild intermittent asthma without complication
Essential facts and insights about Mild Intermittent Asthma Without Complication
Primary ICD-10-CM Code for mild intermittent asthma without complication
Decision Criteria
clinical Criteria
- Symptoms occur ≤2 days/week, nighttime symptoms ≤2x/month
documentation Criteria
- Documented absence of exacerbation or status asthmaticus
Applicable To
- Mild intermittent asthma without acute exacerbation
- Mild intermittent asthma without status asthmaticus
Clinical Validation Requirements
- Symptoms occur ≤2 days/week
- Nighttime symptoms ≤2x/month
- FEV1 ≥80% predicted
Code-Specific Risks
- Risk of using unspecified codes when severity is documented
- Incorrectly coding as exacerbation when symptoms are mild
Coding Notes
- Ensure documentation specifies 'mild intermittent' and absence of exacerbation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with and (suspected) exposure to environmental tobacco smoke
Z77.22Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mild Intermittent Asthma Without Complication to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J45.20.
Impact
Clinical: May affect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure triggers are documented in patient history, Review documentation guidelines regularly
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of health data.
Mitigation Strategy
Ensure documentation specifies 'mild intermittent' to use J45.20.
Impact
Failure to document symptom frequency can lead to incorrect coding.
Mitigation Strategy
Implement regular training on documentation requirements.
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 Mild Intermittent Asthma Without Complication, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mild Intermittent Asthma Without Complication
Use these documentation templates to ensure complete and accurate documentation for Mild Intermittent Asthma Without Complication. These templates include all required elements for proper coding and billing.
Follow-up for Asthma Management
Specialty: PulmonologyRequired Elements
- History of Present Illness
- Physical Exam Findings
- Assessment and Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Mild Intermittent Asthma Without Complication? Ask your questions below.