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ICD-9-CM CODING
Respiratory System
| Question | Answer |
|---|---|
| Acute Respiratory Infections | 460-466 |
| Other Diseases of the Upper Respiratory Tract | 470-478 |
| Pneumonia and Influenza | 480-487 |
| Chronic Obstructive Pulmonary Disease and Allied Conditions | 490-496 |
| Pneumonconioses and Other Lung Diseases Due to External Agents | 500-508 |
| Other Diseases of the Respiratory System | 510-519 |
| Diseases of the Respiratory System | 460-519 |
| Bronochitis | an inflammation of the bronchi and can be acute or chronic in nature |
| Acute Bronochitis | an inflammation of the tracheobronchial tree with a short, more/less severe course |
| Chronic Bronochitis | a condition assoicated with prolonged exposure to nonspecific bronchial irritants, accompanied by mucus hypersecretion, certain structural changes in bronchi (associated with cigarette smoking) |
| Bronochitis, not speciified as acute /chronic | 490 (when specific type of bronchitis is not documented) |
| Chonic Obstructive Pulmonary Disease and Allied Conditions (chronic bronitis is included) | 491 |
| Subdivisions of chronic bronchitis | simple, mucopurulent, obstructive |
| Viral Pneumonia | 480 |
| Viral pneumonia (480) | a highly contagious disease affecting both trachea and speicific virus |
| Pneumococcal Pneumonia | 481 |
| Pneumococcal pneumonia (Streptocococcus pneumoniae pneumonia) | pneumononia caused by the pneumonococcal bacteria lodge in alveooli causing inflammation |
| Other Bacteial Pneumonia | 482 |
| Klebsiella pneumoniae | 482.0 |
| Pseudonmonas | 482.1 |
| Hemophilus influenzae | 482.2 |
| Streptococcus | 482.3x |
| Staphylococcus | 482.4x |
| Pneumonia Due to Other Specified Organism | 483 |
| Pneumonia in Infectious Diseases Classified Elsewhere | 484 |
| Bronchopneumonia, Organism Unspecified | 485 |
| Pneumonia, Organism Unspecified | 486 |
| Influenze | 487 |
| Pneumonitis, Due to Solids and Liquids | 507 |
| Asthma | 493 |
| Respiratory Failure | (blank) |
| Acurte respiratory failure | 518.81 |
| Chronic respiratory failure | 518.83 |
| Acute and chronic respiratory failure | 518.84 |
| COPD without further specification | 496 |
| COPD with chronic bronchitis | 491.2x |
| Obstructive chronic bonchitis without exacerbation, Emphysema with chronic bronchitis | 491.20 |
| Chronic obstructive bronchitis with (acuter) exacerbation | 491.21 |
| Obstructive chronic bronchitis with acute bronchitis | 491.22 |
| COPD with emphysema | 492.8 |
| COPD with asthma | 493.2x |
| Acute respiratory failure | 518.81 |
| Chronic respiratory failure | 518.81 |
| Acute and chronic respiratory failure | 518.84 |
| What are possible areas where guideline requires that acute respiratory failure would be secondary diagnosis | obstetrics, poisoning, HIV, newborn |
| A patient with chronic myathenia gravis suffers an acute exacerbation and develops acute respiratory failure. The pt. is admitted to the hospital to treat the respiratory failure. | Principal dix: 518.81, Seondary dx: 358.01 Myasthenia gravis with (acute) exacerbation |
| A pt. w/ emplysema develops acute respiratory failure. The pt. is admitted to the hosp. for treatment of the respiratory failure. | Prin. dx: 518.81 Acute respiratory failure, Secondary dx: 492.8 Emphysema |
| A pt. with CHF is brought to the ED in acute respiratory failure. The pt. is intubate and admitted to the hospit. The physicians documents that acute respiratory failure is the reason for the admission | Princ. Dx: Acute respiratory failure Secondary diagnosis: 428.0 Congestive heart failure |
Created by:
RHIT07