Unspecified asthma with status asthmaticus
ICD-10 J45.902 is a billable code used to indicate a diagnosis of unspecified asthma with status asthmaticus.
J45.902 refers to unspecified asthma with status asthmaticus, a severe exacerbation of asthma characterized by prolonged and severe respiratory distress. Clinically, patients may present with wheezing, chest tightness, shortness of breath, and a persistent cough that does not respond adequately to standard bronchodilator therapy. The respiratory system, particularly the bronchi and bronchioles, is primarily affected, leading to inflammation, bronchoconstriction, and increased mucus production. Disease progression can vary, with some patients experiencing frequent exacerbations that may require hospitalization, while others may have intermittent symptoms. Diagnostic considerations include a thorough patient history, physical examination, and spirometry to assess lung function. The use of peak flow meters and monitoring of symptoms can aid in determining the severity of the asthma and the effectiveness of treatment. It is crucial to differentiate status asthmaticus from other respiratory conditions, as it requires immediate medical intervention to prevent respiratory failure.
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
J45.902 covers cases of asthma that are unspecified but present with status asthmaticus, indicating a severe asthma attack that requires urgent medical attention. It does not specify the underlying triggers or the frequency of exacerbations.
J45.902 should be used when a patient is experiencing a severe asthma exacerbation that does not fit into more specific categories of asthma. It is essential to document the severity and the acute nature of the episode to justify the use of this code.
Documentation should include a detailed account of the patient's symptoms, treatment administered, response to therapy, and any relevant diagnostic tests such as spirometry results. Clear notes on the severity of the exacerbation and the need for emergency care are crucial.
