Exercise induced bronchospasm
ICD-10 J45.990 is a billable code used to indicate a diagnosis of exercise induced bronchospasm.
Exercise-induced bronchospasm (EIB) is a condition characterized by bronchoconstriction that occurs during or after physical exertion. It is primarily associated with asthma but can also occur in individuals without a prior asthma diagnosis. The underlying mechanism involves airway inflammation and hyperreactivity, leading to symptoms such as wheezing, coughing, chest tightness, and shortness of breath. The anatomy involved includes the bronchial tubes, which can constrict due to various stimuli, including cold air, allergens, or pollutants during exercise. Disease progression can vary; some patients may experience infrequent episodes, while others may have more severe and frequent symptoms, impacting their ability to engage in physical activities. Diagnostic considerations include a thorough patient history, physical examination, and possibly spirometry or exercise challenge tests to confirm the diagnosis. Identifying EIB is crucial for effective management, which may include bronchodilators or inhaled corticosteroids to prevent symptoms during exercise.
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
J45.990 specifically covers exercise-induced bronchospasm, which may occur in patients with asthma or as an isolated condition. It is characterized by bronchial hyperreactivity triggered by physical exertion.
J45.990 should be used when the patient's symptoms are specifically triggered by exercise, differentiating it from other asthma codes that may not have this specific trigger.
Documentation should include a detailed history of the patient's symptoms during exercise, any prior asthma diagnosis, results from spirometry or exercise challenge tests, and treatment responses.
