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ICD-10 Guide
ICD-10 CodesJ41.8

J41.8

Mixed simple and mucopurulent chronic bronchitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J41.8 is a billable code used to indicate a diagnosis of mixed simple and mucopurulent chronic bronchitis.

Key Diagnostic Point:

Mixed simple and mucopurulent chronic bronchitis is characterized by the presence of chronic bronchitis symptoms, including persistent cough, sputum production, and airway obstruction, with both simple and mucopurulent components. The condition primarily affects the bronchi, leading to inflammation and increased mucus production, which can obstruct airflow and cause difficulty in breathing. The disease often progresses from simple chronic bronchitis, which is primarily characterized by a productive cough, to a more complex form with mucopurulent sputum, indicating a secondary infection or exacerbation. Patients may experience recurrent respiratory infections, wheezing, and fatigue. Diagnostic considerations include a thorough patient history, physical examination, pulmonary function tests, and imaging studies such as chest X-rays to rule out other lung conditions. The presence of purulent sputum suggests a bacterial infection, necessitating further evaluation and potential antibiotic therapy. Chronic bronchitis is often associated with long-term exposure to irritants such as tobacco smoke, air pollution, and occupational hazards, making lifestyle modifications and smoking cessation critical components of management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other respiratory conditions such as COPD and asthma.
  • Treatment complexity: May involve multiple treatment modalities including bronchodilators, corticosteroids, and antibiotics.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate coding to reflect the specific type of chronic bronchitis.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of chronic bronchitis.
  • Documentation gaps: Incomplete patient history or lack of evidence for exacerbations.
  • Billing challenges: Potential denials due to insufficient documentation of chronicity or treatment.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Primary Care

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Mixed simple and mucopurulent chronic bronchitis significantly impacts patient quality of life and healthcare utilization. It is prevalent among populations exposed to environmental pollutants and tobacco smoke, contributing to increased hospital admissions and healthcare costs. Effective management and early intervention can improve patient outcomes and reduce the burden on healthcare systems, highlighting the importance of accurate diagnosis and coding.

ICD-9 vs ICD-10

Mixed simple and mucopurulent chronic bronchitis significantly impacts patient quality of life and healthcare utilization. It is prevalent among populations exposed to environmental pollutants and tobacco smoke, contributing to increased hospital admissions and healthcare costs. Effective management and early intervention can improve patient outcomes and reduce the burden on healthcare systems, highlighting the importance of accurate diagnosis and coding.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of chronicity and the impact of the condition on the patient's daily life. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for treatments. Coders should ensure that all relevant clinical information is included in the medical record to support the diagnosis and justify the services billed.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J41.8?

J41.8 covers mixed simple and mucopurulent chronic bronchitis, which includes patients with chronic bronchitis exhibiting both simple symptoms and those with purulent sputum indicative of infection.

When should J41.8 be used instead of related codes?

J41.8 should be used when a patient presents with chronic bronchitis symptoms that include both simple and mucopurulent characteristics, distinguishing it from purely simple or mucopurulent forms.

What documentation supports J41.8?

Documentation should include a detailed patient history, evidence of chronic cough and sputum production, results from pulmonary function tests, and any imaging studies that support the diagnosis of mixed chronic bronchitis.