Moderate persistent asthma with status asthmaticus
ICD-10 J45.42 is a billable code used to indicate a diagnosis of moderate persistent asthma with status asthmaticus.
J45.42 refers to moderate persistent asthma with status asthmaticus, a severe exacerbation of asthma characterized by prolonged and severe respiratory distress. Patients typically present with symptoms such as wheezing, shortness of breath, chest tightness, and cough that are not adequately controlled by their usual medications. The condition involves the bronchial tubes, which become inflamed and narrowed, leading to obstructed airflow. Disease progression can vary; patients may experience frequent exacerbations requiring emergency care, and if not managed properly, it can lead to respiratory failure. Diagnostic considerations include a thorough history, physical examination, and pulmonary function tests to assess the severity of airflow obstruction. Additionally, the use of peak flow meters can help monitor the patient's condition over time. The management of moderate persistent asthma with status asthmaticus often requires systemic corticosteroids, bronchodilators, and possibly hospitalization for severe cases.
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
J45.42 covers moderate persistent asthma that has escalated to status asthmaticus, which is characterized by severe respiratory distress and requires immediate medical intervention. This includes patients who have a history of moderate persistent asthma but are currently experiencing an acute exacerbation that is life-threatening.
J45.42 should be used when a patient with moderate persistent asthma is experiencing a severe exacerbation requiring urgent care, distinguishing it from codes for less severe asthma conditions or those without acute exacerbation.
Documentation should include a detailed account of the patient's asthma history, current symptoms, treatment administered, and response to treatment. Emergency room notes, pulmonary function test results, and any imaging studies should also be included to support the diagnosis.
