![]() ![]() Either of these codes may be sequenced first, based on the reason for the admission.Īspiration pneumonia and COPD: Based on ICD-10-CM, aspiration pneumonia / pneumonitis is not an acute lower respiratory infection but rather classified as a lung disease due to external agents. Therefore, when a patient is admitted with pneumonia and has COPD, code J44.0 is coded first, followed by the code for pneumonia, and assigned to DRG 190 COPD with MCC.ĪECOPD and Pneumonia: When a patient has both pneumonia and acute exacerbation of COPD, it is appropriate to assign both codes J44.0 and J44.1. J20-J22 = Other Acute Lower Respiratory Infections (bronchitis, bronchiolitis, and other)Ĭoding Clinic has settled the controversy by stating that acute bronchitis and pneumonia are included in code J44.0 (lower respiratory infections), but influenza is not since it involves both upper and lower respiratory infections. J00-J06 = Acute Upper Respiratory Infections (includes tracheitis) However, the titles of ICD-10-CM acute respiratory infection categories suggest that pneumonia and influenza are lower respiratory infections since they are not “upper” respiratory infections and category J20-J22 is titled “other”: Includes notes at category J44 list only infections of the bronchial tree and not pneumonia or influenza. J44.1: Chronic obstructive pulmonary disease with (acute) exacerbationĬOPD and Pneumonia: Code J44.0 requires that the lower respiratory infection be sequenced after it, meaning the lower respiratory infection cannot be assigned as principal diagnosis in patients with COPD whether an acute exacerbation is present or not.Ĭontroversy has swirled over whether pneumonia and influenza are classified as lower respiratory infections because Tabular entries seem to conflict. ![]() J44.0: Chronic obstructive pulmonary disease with acute lower respiratory infection.In its 2016 Third Quarter edition, Coding Clinic clarified the use of the following two ICD-10 codes: ![]()
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