Chronic obstructive pulmonary disease with (acute) lower respiratory infection
ICD-10 J44.0 is a billable code used to indicate a diagnosis of chronic obstructive pulmonary disease with (acute) lower respiratory infection.
Chronic obstructive pulmonary disease (COPD) with (acute) lower respiratory infection is characterized by the presence of chronic airflow limitation due to a combination of emphysema and chronic bronchitis. Patients typically present with symptoms such as increased shortness of breath, chronic cough, and sputum production, which may worsen during acute respiratory infections. The anatomy involved includes the bronchi, bronchioles, and alveoli, where inflammation and obstruction occur, leading to impaired gas exchange. Disease progression is often marked by exacerbations, which can be triggered by infections, environmental pollutants, or other factors. Diagnostic considerations include pulmonary function tests, chest imaging, and clinical assessment of symptoms. The presence of an acute lower respiratory infection complicates the management of COPD, necessitating careful monitoring and treatment adjustments to prevent further deterioration of lung function.
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
J44.0 covers chronic obstructive pulmonary disease with an acute lower respiratory infection, which may include conditions such as acute bronchitis or pneumonia that exacerbate the underlying COPD.
J44.0 should be used when a patient with diagnosed COPD presents with an acute lower respiratory infection, distinguishing it from codes that represent COPD without acute infection or other respiratory conditions.
Documentation should include a confirmed diagnosis of COPD, evidence of an acute lower respiratory infection (e.g., clinical findings, imaging results), and a treatment plan that addresses both conditions.
