ICD-10 Coding for Bronchospasm(J98.01, J45.990)
Complete ICD-10-CM coding and documentation guide for Bronchospasm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bronchospasm
J98.0-J98.09Primary Range
Other respiratory disorders
This range includes codes for various respiratory conditions, with J98.01 specifically for acute bronchospasm.
Asthma
Includes codes for asthma, which may be related to bronchospasm if asthma is the underlying cause.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J98.01 | Acute bronchospasm | Use when bronchospasm is acute and not linked to asthma or COPD. |
|
| J45.990 | Exercise-induced bronchospasm | Use when bronchospasm is specifically linked to exercise. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for bronchospasm
Essential facts and insights about Bronchospasm
Primary ICD-10-CM Codes for bronchospasm
Decision Criteria
clinical Criteria
- Sudden onset of symptoms with no chronic respiratory history
coding Criteria
- Excludes asthma-related bronchospasm
Applicable To
- Acute bronchospasm not linked to asthma or COPD
Clinical Validation Requirements
- Spirometry showing ≥12% FEV1 increase post-bronchodilator
- Documented sudden onset with no chronic respiratory history
Code-Specific Risks
- Risk of miscoding as asthma exacerbation
Coding Notes
- Ensure documentation specifies acute nature and excludes asthma.
J45.990 - Exercise-induced bronchospasm
Use when bronchospasm is specifically linked to exercise.
Applicable To
- Bronchospasm triggered by physical exertion
Excludes
- Acute bronchospasm not linked to exercise
Clinical Validation Requirements
- PEFR drop ≥10% after exercise challenge
Coding Notes
Document exercise link clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with and (suspected) exposure to environmental pollution and other contaminants
Z77.22Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bronchospasm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J98.01.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Fails to meet coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific clinical terms., Include objective test results.
Impact
Reimbursement: Incorrect DRG assignment may affect payment., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure documentation specifies bronchospasm is not linked to asthma.
Impact
Failure to sequence underlying conditions first.
Mitigation Strategy
Train staff on proper sequencing rules.
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 Bronchospasm, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bronchospasm
Use these documentation templates to ensure complete and accurate documentation for Bronchospasm. These templates include all required elements for proper coding and billing.
Acute bronchospasm in emergency department
Specialty: Emergency MedicineRequired Elements
- Patient history
- Spirometry results
- Response to bronchodilators
- Exclusion of asthma
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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