Single ICD-9 code transforms to ten codes in ICD-10.
While reporting acute bronchitis, you will need to have a closer look at the documentation to check for the etiology of acute bronchitis as this will carry weight when ICD-10 goes into effect. Here's how the reporting while selecting ICD-9 codes when ICD-10 hits.
ICD-9: There is only one ICD-9 code for acute bronchitis in ICD-9 irrespective of the etiology of the condition. At present, you will report acute bronchitis with ICD-9 code 466.0 (Acute bronchitis)
ICD-10 difference: When ICD-9 changes to ICD-10, you will transform your acute bronchitis coding from ICD-9 code 466.x to J20.x. Remember the expanded ten codes under J20.x that define the etiology of the condition in greater detail, including:
While reporting acute bronchitis, you will need to have a closer look at the documentation to check for the etiology of acute bronchitis as this will carry weight when ICD-10 goes into effect. Here's how the reporting while selecting ICD-9 codes when ICD-10 hits.
ICD-9: There is only one ICD-9 code for acute bronchitis in ICD-9 irrespective of the etiology of the condition. At present, you will report acute bronchitis with ICD-9 code 466.0 (Acute bronchitis)
ICD-10 difference: When ICD-9 changes to ICD-10, you will transform your acute bronchitis coding from ICD-9 code 466.x to J20.x. Remember the expanded ten codes under J20.x that define the etiology of the condition in greater detail, including:
- J20.0 (Acute bronchitis due to Mycoplasma pneumoniae)
- J20.1 (Acute bronchitis due to Hemophilus influenzae)
- J20.2 (Acute bronchitis due to streptococcus)
- J20.3 (Acute bronchitis due to coxsackievirus)
- J20.4 (Acute bronchitis due to parainfluenza virus)
- J20.5 (Acute bronchitis due to respiratory syncytial virus)
- J20.6 (Acute bronchitis due to rhinovirus)
- J20.7 (Acute bronchitis due to echovirus)
- J20.8 (Acute bronchitis due to other specified organisms)
- J20.9 (Acute bronchitis, unspecified)
Medical Billing and Coding Documentation Tip: With ICD-10 Codes , you will need to concentrate more on the cause of the acute bronchitis, so check the encounter notes for these details. If the documentation does not identify the etiology of the acute bronchitis, then you will have to report J20.9. Be sure not to assign a definitive cause unless the physician confirms and documents the causal organism. Just as while selecting ICD-9 codes, do not assign a diagnosis if the physician references a causal organism as "suspected," "probable" or "possible."
For More About ICD-10 :- http://www.supercoder.com/icd-10/
Your pulmonologist will frequently diagnose a case of acute bronchitis by means of the signs and symptoms that the patient is going through. Some of the common signs and symptoms that will you will witness in the documentation will involve fever (R50.9, Fever unspecified), malaise (R53.81, Other malaise), nasal congestion, wheezing (R06.2, Wheezing) and dry or suppurative, persistent cough (R05, Cough).
As most of the instances of acute bronchitis are of viral origin and are self-limiting, the management will merely include treatment of symptoms that the patient is experiencing. In case there is significant amount of sputum formation, then your pulmonologist might be doubtful of a lower respiratory tract infection (such as pneumonia) and order further tests for instance a chest x-ray to rule out or confirm the condition.
Your pulmonologist might order a sputum culture to determine the etiology of the condition. This will often be vital in case your pulmonologist disbelieves a bacterial origin that will require treatment with antibiotics. In case your pulmonologist has ordered a histopathological study, the etiology of the condition stated in the documentation will help define the suitable code that you can report for the case of acute bronchitis to ensure accurate medical billing and coding.
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