Valid for Submission
J44.1 is a billable diagnosis code used to specify a medical diagnosis of chronic obstructive pulmonary disease with (acute) exacerbation. The code J44.1 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code J44.1 might also be used to specify conditions or terms like acute exacerbation of chronic asthmatic bronchitis, acute exacerbation of chronic bronchitis, acute exacerbation of chronic obstructive airways disease, acute exacerbation of chronic obstructive airways disease with asthma, acute exacerbation of chronic obstructive bronchitis , asthmatic bronchitis, etc.
The code J44.1 is linked to some Quality Measures as part of Medicare’s Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Chronic Obstructive Pulmonary Disease (copd): Long-acting Inhaled Bronchodilator Therapy.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code J44.1:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Decompensated COPD
- Decompensated COPD with (acute) exacerbation
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code J44.1 are found in the index:
- - Asthma, asthmatic (bronchial) (catarrh) (spasmodic) - J45.909
- - Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) - J40
- - Disease, diseased - See Also: Syndrome;
- - lung - J98.4
- - pulmonary - See Also: Disease, lung;
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute exacerbation of chronic asthmatic bronchitis
- Acute exacerbation of chronic bronchitis
- Acute exacerbation of chronic obstructive airways disease
- Acute exacerbation of chronic obstructive airways disease with asthma
- Acute exacerbation of chronic obstructive bronchitis
- Asthmatic bronchitis
- Chronic asthmatic bronchitis
- Chronic obstructive asthma co-occurrent with acute exacerbation of asthma
- Emphysematous bronchitis
- Obstruction of bronchus
- Pulmonary hypertension due to lung disease and/or hypoxia
- Pulmonary hypertension due to pulmonary disease with mixed restrictive and obstructive pattern
Diagnostic Related Groups - MS-DRG Mapping
Convert J44.1 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code J44.1 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Quality Payment Program Measures
When code J44.1 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
|Quality Measure||Description||Quality Domain||Measure Type||High Priority||Submission Methods|
|Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy||Percentage of patients aged 18 years and older with a diagnosis of COPD (FEV1/FVC < 70%) and who have an FEV1 less than 60% predicted and have symptoms who were prescribed a long-acting inhaled bronchodilator.||Effective Clinical Care||Process||NO||Claims, Registry|
Information for Patients
COPD (chronic obstructive pulmonary disease) makes it hard for you to breathe. The two main types are chronic bronchitis and emphysema. The main cause of COPD is long-term exposure to substances that irritate and damage the lungs. This is usually cigarette smoke. Air pollution, chemical fumes, or dust can also cause it.
At first, COPD may cause no symptoms or only mild symptoms. As the disease gets worse, symptoms usually become more severe. They include
- A cough that produces a lot of mucus
- Shortness of breath, especially with physical activity
- Chest tightness
Doctors use lung function tests, imaging tests, and blood tests to diagnose COPD. There is no cure. Treatments may relieve symptoms. They include medicines, oxygen therapy, surgery, or a lung transplant. Quitting smoking is the most important step you can take to treat COPD.
NIH: National Heart, Lung, and Blood Institute
- Blood gases (Medical Encyclopedia)
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- COPD -- how to use a nebulizer (Medical Encyclopedia)
- COPD -- managing stress and your mood (Medical Encyclopedia)
- COPD and other health problems (Medical Encyclopedia)
- COPD flare-ups (Medical Encyclopedia)
- Day to day with COPD (Medical Encyclopedia)
- How to breathe when you are short of breath (Medical Encyclopedia)
- Pulmonary function tests (Medical Encyclopedia)
- Smoking and COPD (Medical Encyclopedia)
- Using oxygen at home (Medical Encyclopedia)
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