Severe persistent asthma, uncomplicated
ICD-10 J45.50 is a billable code used to indicate a diagnosis of severe persistent asthma, uncomplicated.
Severe persistent asthma, uncomplicated, is characterized by frequent and severe asthma symptoms that occur daily and significantly impact the patient's quality of life. Clinically, patients may experience persistent wheezing, coughing, chest tightness, and shortness of breath, often requiring high doses of inhaled corticosteroids or systemic corticosteroids for control. The respiratory system, particularly the bronchi and bronchioles, is primarily affected, leading to chronic inflammation, airway hyperresponsiveness, and reversible airflow obstruction. Disease progression can vary, with some patients experiencing exacerbations that necessitate emergency care or hospitalization. Diagnostic considerations include a thorough clinical history, physical examination, spirometry, and peak flow measurements to assess lung function. Additionally, allergy testing may be performed to identify triggers that exacerbate symptoms. Accurate diagnosis is crucial for effective management and 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
J45.50 covers severe persistent asthma that is not complicated by acute exacerbations or other respiratory conditions. It includes patients who experience daily symptoms and require high-intensity treatment to manage their condition.
J45.50 should be used when the patient has severe persistent asthma without exacerbations. If the patient experiences acute exacerbations, J45.51 should be considered instead.
Documentation should include a detailed history of asthma symptoms, frequency of attacks, medication usage, and results from lung function tests. Evidence of ongoing management and treatment plans is also essential.
