Unspecified asthma, uncomplicated
ICD-10 J45.909 is a billable code used to indicate a diagnosis of unspecified asthma, uncomplicated.
J45.909 refers to unspecified asthma, uncomplicated, which is characterized by recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, particularly at night or early morning. The respiratory system, specifically the bronchi and bronchioles, is primarily involved in this condition. Asthma is a chronic inflammatory disorder of the airways, leading to airway hyperresponsiveness and obstruction. The disease can progress from intermittent symptoms to persistent asthma, which may require more intensive management. Diagnostic considerations include a thorough patient history, physical examination, and spirometry to assess lung function. The absence of specific asthma types (e.g., allergic, exercise-induced) necessitates the use of this unspecified code when the clinician does not have sufficient information to classify the asthma further. It is crucial for healthcare providers to monitor symptoms and response to treatment to ensure optimal management and prevent exacerbations.
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
J45.909 covers cases of asthma that do not fit into more specific categories such as allergic asthma, exercise-induced asthma, or asthma with acute exacerbation. It is used when the clinician has not specified the type of asthma or when the patient's asthma is not classified due to insufficient information.
J45.909 should be used when the patient's asthma is not clearly defined or when the clinician opts not to specify the type of asthma. It is important to differentiate it from codes that indicate specific types of asthma, which require more detailed documentation and treatment plans.
Documentation for J45.909 should include a detailed patient history, symptom assessment, and results from lung function tests. It is essential to note any treatments attempted and the patient's response to those treatments to support the use of this unspecified code.
