J45.909

Unspecified asthma, uncomplicated

Diseases of the respiratory system Billable
Quick Reference
Asthma without current exacerbation or acute attack, type not specified

Clinical Information

When to Use This Code

Asthma without current exacerbation or acute attack, type not specified

Common Clinical Scenarios

  • Stable asthma on controller medications
  • Routine asthma follow-up visits
  • Asthma action plan review
  • Inhaler refill visits

Documentation Requirements

  • Specify asthma type: intermittent, mild persistent, moderate, severe
  • Document control status: well-controlled, not well-controlled, very poorly controlled
  • Record peak flow or spirometry values
  • Note rescue inhaler frequency and controller medications

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Asthma NOSAsthma without exacerbationStable asthma

Exclusion Terms

Do NOT use this code for:

  • Asthma with exacerbation (J45.901, J45.902)
  • Asthma with status asthmaticus (J45.902)
  • COPD (J44.-)

Coding Notes

Code more specifically by severity when documented
Use J45.901 for mild intermittent with exacerbation
Use J45.51 for severe persistent asthma

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Code Details

Code
J45.909
Category
Diseases of the respiratory system
Billable Status
Billable

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