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v1.0.0
ICD-10 Guide
DiagnosesPersonal History Of Asthma

Personal History Of Asthma

ICD-10 Coding for Personal History of Asthma(Z87.09)

PRIMARY SPECIALTYPrimary Care
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Personal History Of Asthma?
Essential facts and insights about Personal History of Asthma

Key Clinical Considerations:

  • History of wheezing, shortness of breath, chest tightness, and coughing
  • Spirometry showing reversible airway obstruction
  • Physical exam may reveal wheezing or prolonged expiration

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's asthma history, including frequency and severity of symptoms
  • Use of specific terms like 'personal history of asthma' or 'resolved asthma'
  • Examples include: 'Patient has a history of asthma diagnosed at age X, currently asymptomatic.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for chronic conditions; avoid coding active asthma if the patient is asymptomatic.
  • Common errors include misclassifying asthma as active when it is resolved.

Code Exclusions

Important Exclusions

  • Active asthma exacerbations, COPD
  • Codes for other respiratory conditions like bronchitis

Related ICD-10 Codes

Primary Codes
Z87.22
Personal history of asthma
Ancillary Codes
Z09
Differential Codes
J45.909
J45.909
for active asthma with current symptoms or treatment.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Primary Care

Specialty Applications

  • Patients with a past diagnosis of asthma, particularly in primary care settings
  • Routine check-ups and follow-up visits

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the patient's asthma history, including any treatments and current status.

Billing considerations?

Ensure accurate coding to reflect the patient's history for appropriate reimbursement.