ICD-10 Coding for History of COPD(Z87.09)
Complete ICD-10-CM coding and documentation guide for History of COPD. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of COPD
Z87.0-Z87.09Primary Range
Personal history of diseases of the respiratory system
This range includes codes for personal history of respiratory diseases, including COPD when it is resolved.
Key Information: ICD-10 code for history of COPD
Essential facts and insights about History of COPD
Primary ICD-10-CM Code for history of copd
Decision Criteria
clinical Criteria
- COPD is resolved with no current symptoms.
documentation Criteria
- Patient records indicate past COPD diagnosis and resolution.
Applicable To
- History of COPD
- History of asthma resolved
- History of pneumonia
Excludes
- Current COPD (J44.-)
- Active respiratory conditions
Clinical Validation Requirements
- Past spirometry results showing improvement
- Documentation of resolved COPD
- No current treatment or symptoms
Code-Specific Risks
- Incorrectly coding active COPD as history
- Lack of documentation supporting resolved status
Coding Notes
- Ensure documentation clearly states COPD is resolved to use Z87.09.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of nicotine dependence
Z87.891Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of COPD to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.09.
Impact
Clinical: Leads to potential mismanagement of patient care., Regulatory: Non-compliance with documentation standards., Financial: May affect reimbursement accuracy.
Mitigation Strategy
Always clarify if COPD is active or resolved., Use specific language in documentation.
Impact
Reimbursement: Incorrect coding may lead to inappropriate reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Confirm with provider if COPD is active or historical and use Z87.09 if resolved.
Impact
Using active COPD codes for resolved conditions.
Mitigation Strategy
Ensure documentation clearly states the resolved status.
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 History of COPD, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of COPD
Use these documentation templates to ensure complete and accurate documentation for History of COPD. These templates include all required elements for proper coding and billing.
Patient with resolved COPD
Specialty: PulmonologyRequired Elements
- Past diagnosis of COPD
- Resolution status
- No current symptoms or treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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