Mild persistent asthma with status asthmaticus
ICD-10 J45.32 is a billable code used to indicate a diagnosis of mild persistent asthma with status asthmaticus.
J45.32 refers to mild persistent asthma with status asthmaticus, a severe exacerbation of asthma characterized by prolonged and acute respiratory distress. Patients typically present with wheezing, shortness of breath, chest tightness, and cough that may not respond to standard bronchodilator therapy. The respiratory system, particularly the bronchi and bronchioles, is affected, leading to inflammation, increased mucus production, and bronchoconstriction. Disease progression can vary; while mild persistent asthma is generally manageable, status asthmaticus represents a critical condition requiring immediate medical intervention. Diagnostic considerations include a thorough patient history, physical examination, and pulmonary function tests to assess airflow obstruction. The use of peak flow meters may also help in monitoring the severity of the condition. Clinicians must differentiate between mild persistent asthma and more severe forms, as well as identify triggers that may exacerbate symptoms, such as allergens, respiratory infections, or environmental factors.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J45.32 covers patients with mild persistent asthma who experience acute exacerbations leading to status asthmaticus. This includes symptoms that are not adequately controlled by standard asthma medications and require emergency intervention.
J45.32 should be used when a patient with mild persistent asthma experiences a severe exacerbation requiring hospitalization or emergency treatment, distinguishing it from other asthma codes that do not involve status asthmaticus.
Documentation should include a detailed account of the patient's asthma history, current symptoms, treatment response, and any exacerbating factors. Emergency room notes, treatment plans, and follow-up assessments are critical for supporting the use of J45.32.
