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Wiki Coding question for Endstage COPD
- Thread starter NL2022
- Start date
janetdu
Guest
Hi Sherry!
Yes, 496 is the only code to use. Unfortunately, they don't have a separate code for end stage COPD. However, talk to your docs - sometimes there's something else going on there.
For example: they may have asthma or bronchitis along with the COPD which would point you to other more specific codes to use. I've worked with Pulmonary/Critical Care/Sleep Medicine docs for the past 8+ years and I'm always asking them for more information - which normally leads me to other more specific code ranges. In the event that COPD is all you have to go on, then yes, the 496 would be appropriate to use.
Hope this helps! Janet
Yes, 496 is the only code to use. Unfortunately, they don't have a separate code for end stage COPD. However, talk to your docs - sometimes there's something else going on there.
For example: they may have asthma or bronchitis along with the COPD which would point you to other more specific codes to use. I've worked with Pulmonary/Critical Care/Sleep Medicine docs for the past 8+ years and I'm always asking them for more information - which normally leads me to other more specific code ranges. In the event that COPD is all you have to go on, then yes, the 496 would be appropriate to use.
Hope this helps! Janet
afahmi
New
I would go with 491.20 Emphysema with chronic bronchitis. Any other takers?
Anna Weaver
Guest
Endstage COPD
I agree with Janet, I would code 496 unless the Dr can give you more information. Yes, COPD is a combination of emphysema and bronchitis, but, unless the Dr wants to give him more specific info, COPD is all he can go with. My opinion!
I agree with Janet, I would code 496 unless the Dr can give you more information. Yes, COPD is a combination of emphysema and bronchitis, but, unless the Dr wants to give him more specific info, COPD is all he can go with. My opinion!
afahmi
New
I just verified with a pulmonologist, and a good acquaintance of mine, according to his opinion the term End Stage COPD unto itself implies that the patient has severe form of Emphysema that requires constant oxygen cylinder.
So if it is just COPD I will go with 496. But if in the documentation it says ESCOPD, then shouldn't we make sure that the diagnosis code correctly depicts patient state?
Azim
afahmi
New
I just verified with a pulmonologist, and a good acquaintance of mine, according to his opinion the term End Stage COPD unto itself implies that the patient has severe form of Emphysema that requires constant oxygen cylinder.
So if it is just COPD I will go with 496. But if in the documentation it says ESCOPD, then shouldn't we make sure that the diagnosis code correctly depicts patient state?
Azim
Anna Weaver
Guest
escopd
Absolutely, I agree. However, we should make sure that the diagnosis code correctly reflects the documentation. Therefore, the Dr. must give more information. If not, we can't assume anything, even if we know.
Absolutely, I agree. However, we should make sure that the diagnosis code correctly reflects the documentation. Therefore, the Dr. must give more information. If not, we can't assume anything, even if we know.
jeevapt_09
Networker
Copd
Hi sherry,
COPD is general term for Emphysema, chronic bronchitis, asthma so we should code for COPD go to physician documentation only in document sayes COPD 496 is only code for this, so its correct way to code COPD.
Hi sherry,
COPD is general term for Emphysema, chronic bronchitis, asthma so we should code for COPD go to physician documentation only in document sayes COPD 496 is only code for this, so its correct way to code COPD.