ICD-10 Coding for Personal History of Asthma(Z87.09)
Complete ICD-10-CM coding and documentation guide for Personal History of Asthma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Personal History of Asthma
Z87.0-Z87.09Primary Range
Personal history of other diseases of the respiratory system
This range includes codes for documenting resolved respiratory conditions, including asthma.
Asthma
This range includes codes for active asthma conditions, which should not be used for resolved asthma.
Key Information: ICD-10 code for personal history of asthma
Essential facts and insights about Personal History of Asthma
Primary ICD-10-CM Code for personal history of asthma
Decision Criteria
clinical Criteria
- Patient has no current asthma symptoms and is not on asthma medication.
documentation Criteria
- Medical record must state asthma is resolved.
Applicable To
- Resolved asthma
Excludes
- Active asthma (J45.-)
Clinical Validation Requirements
- No current symptoms such as wheezing or dyspnea
- Discontinued asthma medications
- Normal spirometry results
Code-Specific Risks
- Incorrectly using this code for active asthma can lead to compliance issues.
Coding Notes
- Ensure documentation clearly states the asthma is resolved and not currently treated.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Follow-up examination after treatment
Z09Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Personal History of Asthma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.09.
Impact
Clinical: Misrepresents patient's current health status., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing.
Mitigation Strategy
Train staff on documentation requirements., Use templates to ensure completeness.
Impact
Reimbursement: May result in incorrect reimbursement rates., Compliance: Could lead to compliance issues during audits., Data Quality: Affects the accuracy of patient health records.
Mitigation Strategy
Use active asthma codes (J45.-) if the patient has symptoms or is on treatment.
Impact
Using Z87.09 for active asthma cases.
Mitigation Strategy
Regular training on code differentiation.
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 Personal History of Asthma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Personal History of Asthma
Use these documentation templates to ensure complete and accurate documentation for Personal History of Asthma. These templates include all required elements for proper coding and billing.
Resolved Asthma Documentation
Specialty: Primary CareRequired Elements
- Resolution status
- Last exacerbation date
- Current symptom status
- Medication history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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