Severe persistent asthma with (acute) exacerbation
ICD-10 J45.51 is a billable code used to indicate a diagnosis of severe persistent asthma with (acute) exacerbation.
J45.51 refers to severe persistent asthma with acute exacerbation, a condition characterized by chronic inflammation of the airways, leading to recurrent episodes of wheezing, breathlessness, chest tightness, and coughing. The acute exacerbation indicates a sudden worsening of symptoms, often triggered by allergens, respiratory infections, or environmental factors. The respiratory system, particularly the bronchi and bronchioles, is primarily affected, resulting in airway obstruction due to bronchoconstriction, mucus production, and airway edema. Disease progression can vary, with patients experiencing frequent exacerbations that may require hospitalization. Diagnostic considerations include a thorough clinical history, physical examination, pulmonary function tests, and possibly imaging studies to assess the severity and frequency of exacerbations. Management typically involves a combination of long-term control medications, such as inhaled corticosteroids, and quick-relief medications, like bronchodilators, to manage acute symptoms. Regular monitoring and adjustment of treatment plans are crucial to prevent exacerbations and maintain optimal 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
J45.51 covers severe persistent asthma characterized by frequent exacerbations requiring systemic corticosteroids, with symptoms that significantly impact daily activities and may lead to emergency care.
J45.51 should be used when a patient with severe persistent asthma experiences an acute exacerbation, indicated by increased symptoms and decreased lung function, necessitating immediate treatment.
Documentation should include a detailed history of asthma symptoms, frequency of exacerbations, treatment responses, and any hospitalizations or emergency visits related to acute exacerbations.
