Asthmatic Bronchitis ICD-10-CM Codes

What ICD-10 codes are used for asthmatic bronchitis?

Accurate ICD-10-CM coding for conditions such as asthmatic bronchitis is essential for clinical documentation, diagnosis tracking, and reimbursement.

In cases where asthma overlaps with bronchitis, particularly in the context of chronic obstructive pulmonary disease (COPD) or acute exacerbations, selecting the correct code helps ensure the patient receives targeted treatment while supporting compliance with payer guidelines.

J45.90 - Unspecified asthma is the category which is applicable to conditions like childhood asthma NOS, Late onset asthma, and asthmatic bronchitis NOS. Specific codes include:

• J45.901: Unspecified asthma with (acute) exacerbation
• J45.902: Unspecified asthma with status asthmaticus
• J45.909: Unspecified asthma, uncomplicated

Which Asthmatic Bronchitis ICD-10-CM Codes are billable?

All listed codes are billable and can be used for reimbursement. Clinicians and medical coders should ensure all diagnoses are supported by chart documentation, clinical findings, and specific exposure or risk factors (e.g., exposure to environmental tobacco smoke, history of tobacco dependence, external agents, or environmental pollutants).

Clinical information

• Asthmatic bronchitis is a condition marked by inflammation of the bronchial tubes in individuals diagnosed with asthma. This inflammation can intensify the existing asthmatic symptoms, making it difficult for the individual to breathe normally.
• The root causes of asthmatic bronchitis are often allergens such as pollen, dust, pet dander, or irritants like smoke and pollution. Certain infections or strenuous physical activity can also trigger this condition.
• The symptoms associated with asthmatic bronchitis are similar to those of traditional asthma symptoms but can be more intense due to the added bronchial inflammation. Patients typically experience frequent coughing, wheezing, shortness of breath, and tightness in the chest.
• The diagnostic process for asthmatic bronchitis involves multiple steps. A healthcare provider usually begins with a thorough physical examination and an extensive patient history to gain insights into the patient's symptoms, lifestyle, and potential exposure to tobacco smoke, allergens or other irritants.
• Specific diagnostic tests are employed to confirm the diagnosis after the initial evaluation. A spirometry test, which measures the volume of air inhaled and exhaled, is commonly used. It helps assess the degree of airway obstruction, a characteristic feature of asthmatic bronchitis.
• Treating asthmatic bronchitis involves managing both asthma and bronchitis simultaneously. This approach could include bronchodilators, anti-inflammatory medications, and lifestyle modifications to minimize exposure to triggering factors.

Synonyms include

• Acute bronchitis with asthma
• Acute exacerbation of asthma with allergic rhinitis
• Allergic asthma with acute exacerbation
• Asthma exacerbation
• Asthma flare-up
• Asthma with irreversible airway obstruction
• Asthmatic disease
• Bronchial asthma
• Chronic asthmatic bronchitis
• Persistent asthma with chronic bronchitis
• Reactive airway disease