ICD-10 Coding for Mild Persistent Asthma(J45.30, J45.31)
Complete ICD-10-CM coding and documentation guide for Mild Persistent Asthma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mild Persistent Asthma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J45.30 | Mild persistent asthma, uncomplicated | Use when asthma is mild persistent without exacerbation or status asthmaticus. |
|
| J45.31 | Mild persistent asthma with (acute) exacerbation | Use when mild persistent asthma is accompanied by an acute exacerbation. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for mild persistent asthma
Essential facts and insights about Mild Persistent Asthma
Primary ICD-10-CM Codes for mild persistent asthma
Decision Criteria
clinical Criteria
- Patient exhibits mild persistent symptoms without exacerbation.
Applicable To
- Chronic asthma with mild persistent symptoms
Clinical Validation Requirements
- FEV1 ≥80% predicted
- Symptom frequency >2 days/week
Code-Specific Risks
- Incorrectly coding as uncomplicated when exacerbation is present.
Coding Notes
- Ensure documentation specifies 'mild persistent' and excludes exacerbation or status asthmaticus.
J45.31 - Mild persistent asthma with (acute) exacerbation
Use when mild persistent asthma is accompanied by an acute exacerbation.
Applicable To
- Asthma with acute exacerbation
Excludes
- Asthma with status asthmaticus (J45.32)
Clinical Validation Requirements
- Documented acute exacerbation
- Increased use of rescue inhaler
Coding Notes
Ensure exacerbation is clearly documented in the medical record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mild Persistent Asthma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J45.30.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'mild persistent'., Document exacerbation details.
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation Strategy
Ensure documentation supports the use of specific codes like J45.31 instead of J45.909.
Impact
Coding without specifying severity can lead to audits.
Mitigation Strategy
Ensure documentation specifies asthma type and severity.
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 Persistent Asthma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mild Persistent Asthma
Use these documentation templates to ensure complete and accurate documentation for Mild Persistent Asthma. These templates include all required elements for proper coding and billing.
Asthma exacerbation management
Specialty: PulmonologyRequired Elements
- Symptom frequency
- Medication usage
- Exacerbation triggers
- Spirometry results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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