ICD-10 Coding for Status Asthmaticus(J45.52)
Complete ICD-10-CM coding and documentation guide for Status Asthmaticus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Status Asthmaticus
J45Primary Range
Asthma
This range includes all asthma-related conditions, including status asthmaticus.
Key Information: ICD-10 code for status asthmaticus
Essential facts and insights about Status Asthmaticus
Primary ICD-10-CM Code for status asthmaticus
Decision Criteria
clinical Criteria
- Patient exhibits symptoms unresponsive to bronchodilators and has a PEFR < 50%
documentation Criteria
- Documentation must specify 'status asthmaticus' and treatment resistance
Applicable To
- Severe asthma exacerbation unresponsive to treatment
Excludes
- Asthma with acute exacerbation (J45.51)
Clinical Validation Requirements
- Failure to respond to inhaled bronchodilators
- Silent chest, paradoxical breathing, or altered mental status
- PEFR < 50% predicted
Code-Specific Risks
- Incorrectly coding both exacerbation and status asthmaticus
Coding Notes
- Ensure documentation specifies the severity and lack of response to treatment to justify the use of this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of systemic steroids
Z79.52Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Severe persistent asthma with acute exacerbation
J45.51Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Status Asthmaticus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J45.52.
Impact
Clinical: Lack of specificity can lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure documentation includes specific asthma type and severity.
Impact
Reimbursement: Incorrect coding can lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Only code J45.52 when status asthmaticus is present.
Impact
Using unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation is detailed and specific.
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 Status Asthmaticus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Status Asthmaticus
Use these documentation templates to ensure complete and accurate documentation for Status Asthmaticus. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: PulmonologyRequired Elements
- Patient history
- Current symptoms
- Response to treatment
- Objective findings
- ABG results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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