Severe persistent asthma
ICD-10 J45.5 is a used to indicate a diagnosis of severe persistent asthma.
Severe persistent asthma is characterized by frequent and severe symptoms that significantly impact daily activities and quality of life. Patients often experience daily symptoms, nighttime awakenings, and require high doses of inhaled corticosteroids or systemic corticosteroids for control. The respiratory system, particularly the bronchi and bronchioles, is primarily affected, leading to inflammation, bronchoconstriction, and increased mucus production. This chronic condition can progress over time, resulting in airway remodeling and decreased lung function if not adequately managed. Diagnostic considerations include a thorough patient history, physical examination, spirometry to assess lung function, and possibly additional tests such as peak flow monitoring. The severity of asthma is classified based on symptom frequency, nighttime awakenings, and the need for rescue medications, making accurate diagnosis essential for effective treatment planning.
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
J45.5 covers severe persistent asthma, which includes patients experiencing daily symptoms, frequent nighttime awakenings, and those requiring high doses of medications for control. It may also encompass exacerbations that necessitate emergency care.
J45.5 should be used when a patient exhibits severe persistent asthma symptoms that require intensive management, as opposed to moderate or mild forms of asthma which are coded differently.
Documentation should include a detailed history of asthma symptoms, frequency of exacerbations, medication usage, and results from lung function tests such as spirometry.
