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ICD-10 Guide
ICD-10 CodesJ45.2

J45.2

Mild intermittent asthma

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J45.2 is a used to indicate a diagnosis of mild intermittent asthma.

Key Diagnostic Point:

Mild intermittent asthma (J45.2) is characterized by occasional asthma symptoms that occur less than twice a week and do not interfere with normal activities. Patients may experience shortness of breath, wheezing, and chest tightness, typically triggered by allergens, respiratory infections, or environmental factors. The respiratory system, particularly the bronchi and bronchioles, is primarily affected, leading to reversible airway obstruction due to bronchial hyperreactivity and inflammation. Disease progression can vary; while some patients may remain stable with infrequent symptoms, others may experience worsening episodes requiring intervention. Diagnostic considerations include a thorough patient history, physical examination, and spirometry to assess lung function. Peak flow monitoring may also be utilized to evaluate variability in airflow. It is crucial to differentiate mild intermittent asthma from other asthma classifications, such as mild persistent asthma (J45.3), which involves more frequent symptoms and requires a different management approach.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Diagnostic complexity: Low, as symptoms are infrequent and easily identifiable.
  • Treatment complexity: Low, typically managed with as-needed short-acting bronchodilators.
  • Documentation requirements: Moderate, necessitating clear symptom descriptions and frequency.
  • Coding specificity: High, as it specifically identifies mild intermittent asthma.

Audit Risk Factors

  • Common coding errors: Misclassification with persistent asthma codes.
  • Documentation gaps: Incomplete symptom frequency records.
  • Billing challenges: Denials due to insufficient evidence of intermittent nature.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Allergy and Immunology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Mild intermittent asthma affects a significant portion of the population, particularly children and young adults. Understanding this condition is crucial for improving quality measures and reducing healthcare utilization. Effective management can lead to better patient outcomes, decreased emergency room visits, and improved overall population health. Epidemiologically, asthma prevalence is rising, making awareness and accurate coding essential for resource allocation and public health initiatives.

ICD-9 vs ICD-10

Mild intermittent asthma affects a significant portion of the population, particularly children and young adults. Understanding this condition is crucial for improving quality measures and reducing healthcare utilization. Effective management can lead to better patient outcomes, decreased emergency room visits, and improved overall population health. Epidemiologically, asthma prevalence is rising, making awareness and accurate coding essential for resource allocation and public health initiatives.

Reimbursement & Billing Impact

Reimbursement considerations include verifying that the patient meets the criteria for mild intermittent asthma. Common denials may arise from insufficient documentation or misclassification of asthma severity. Best practices include maintaining thorough records of patient visits, treatment plans, and any spirometry results to support the diagnosis and ensure appropriate reimbursement.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J45.2?

J45.2 covers mild intermittent asthma, characterized by symptoms occurring less than twice a week without significant limitations on daily activities. It is essential to document the frequency and severity of symptoms to support this diagnosis.

When should J45.2 be used instead of related codes?

J45.2 should be used when the patient exhibits infrequent asthma symptoms that do not occur more than twice a week. If symptoms are more frequent or persistent, codes like J45.3 or J45.4 should be considered.

What documentation supports J45.2?

Documentation should include a detailed history of asthma symptoms, frequency of episodes, triggers, and any spirometry results that indicate normal lung function between episodes.