ICD 10 Coding Alert

Can you provide the correct diagnoses in these scenarios?

Chronic obstructive pulmonary disease (COPD) may be a common condition, but finding the most specific diagnosis code that describes one of its many manifestations isn’t quite so straightforward. That’s why it’s always a good idea for coders to refresh their knowledge of COPD coding.

So, take this quiz to stay current with your COPD reporting skills. Come up with your best answers to the following questions, then turn to page 52 and see how they compare with ours.

COPD With Bronchitis

Question 1: A patient who has had COPD for six years presents complaining of shortness of breath, increased sputum, difficulty sleeping, and a runny nose. He says his granddaughter, who lives with him, recently suffered from rhinovirus. On examination, the pulmonologist determines that the COPD patient is suffering from acute bronchitis stemming from rhinovirus. She prescribes antibiotics and steroids and asks the patient to return if the symptoms worsen. What is the correct code to choose in this situation?

COPD With Acute Exacerbation

Question 2: A patient who has had COPD for eight months presents with difficulty breathing. Following a series of tests and an examination, the pulmonologist diagnoses the COPD patient with an acute exacerbation of her moderate persistent asthma. How would you code this scenario?

COPD With Airway Obstruction

Question 3: A patient who has had COPD for nine years presents with difficulty breathing. Upon examination, the pulmonologist finds a collection of mucus in the patient’s throat. She trains the patient on how to use an Acapella device to expel the mucus so it doesn’t get caught in his throat anymore. The patient is able to bring up the phlegm and his breathing becomes clearer. Which code most accurately describes this patient’s condition?