ICD-10 Coding for Mild Intermittent Asthma with Exacerbation(J45.21)
Complete ICD-10-CM coding and documentation guide for Mild Intermittent Asthma with Exacerbation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mild Intermittent Asthma with Exacerbation
J45.2-J45.9Primary Range
Asthma and its subcategories
This range includes all asthma types, with J45.21 specifically for mild intermittent asthma with exacerbation.
Key Information: ICD-10 code for mild intermittent asthma with exacerbation
Essential facts and insights about Mild Intermittent Asthma with Exacerbation
Primary ICD-10-CM Code for mild intermittent asthma with exacerbation
Decision Criteria
clinical Criteria
- Presence of acute exacerbation symptoms
documentation Criteria
- Detailed documentation of exacerbation and triggers
Applicable To
- Mild intermittent asthma with exacerbation
Excludes
- Asthma with status asthmaticus (J45.22)
Clinical Validation Requirements
- Documented acute exacerbation with increased symptoms
- Spirometry showing FEV1 ≥80% predicted
- Increased use of rescue inhaler during exacerbation
Code-Specific Risks
- Misclassification as unspecified asthma
- Failure to document exacerbation details
Coding Notes
- Ensure detailed documentation of symptoms and triggers to support the use of J45.21.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mild Intermittent Asthma with Exacerbation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J45.21.
Impact
Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Always ask about and document potential triggers, Include environmental exposure details
Impact
Reimbursement: Lower reimbursement rates due to unspecified codes., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality affecting clinical decision-making.
Mitigation Strategy
Always specify the type and severity of asthma, such as J45.21 for mild intermittent with exacerbation.
Impact
Using unspecified codes instead of specific ones like J45.21.
Mitigation Strategy
Educate staff on the importance of specific coding and provide regular training.
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 Mild Intermittent Asthma with Exacerbation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mild Intermittent Asthma with Exacerbation
Use these documentation templates to ensure complete and accurate documentation for Mild Intermittent Asthma with Exacerbation. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: PulmonologyRequired Elements
- Asthma severity classification
- Exacerbation symptoms
- Trigger identification
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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