Severe persistent asthma with status asthmaticus
ICD-10 J45.52 is a billable code used to indicate a diagnosis of severe persistent asthma with status asthmaticus.
J45.52 refers to severe persistent asthma with status asthmaticus, a critical condition characterized by prolonged and severe asthma exacerbations that do not respond to standard treatments. Clinically, patients may present with continuous wheezing, shortness of breath, chest tightness, and a significant decrease in peak expiratory flow rates. The respiratory system, particularly the bronchi and bronchioles, is primarily affected, leading to inflammation, bronchoconstriction, and mucus production. Disease progression can be rapid, with potential for respiratory failure if not managed promptly. Diagnostic considerations include a thorough patient history, physical examination, spirometry, and possibly imaging studies to rule out other conditions. The severity of asthma is classified based on frequency of symptoms, nighttime awakenings, and the need for rescue medications, with status asthmaticus indicating a life-threatening situation requiring immediate medical intervention, often necessitating hospitalization and intensive care management.
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
J45.52 covers severe persistent asthma exacerbated by status asthmaticus, which is characterized by acute respiratory distress requiring urgent intervention. This includes patients who experience prolonged asthma attacks that do not respond to standard bronchodilator therapy.
J45.52 should be used when a patient presents with severe persistent asthma that has escalated to status asthmaticus, indicating a critical state requiring immediate medical attention, as opposed to less severe forms of asthma.
Documentation should include detailed clinical notes on the patient's history of asthma, frequency and severity of exacerbations, treatment responses, and any emergency interventions performed, such as the use of nebulizers or intubation.
