Chronic obstructive bronchitis urolithiasis

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Other chronic obstructive pulmonary disease (J44)

Excluded: with influenza (J09-J11)

Chronical bronchitis:

  • asthmatic (obstructive) NOS
  • emphysematous NOS
  • obstructive NOS

Excluded:

  • acute lower respiratory tract infections (J44.0)
  • with exacerbation (J44.1)

Table of contents:

Chronic obstructive:

  • respiratory tract disease NOS
  • lung disease NOS

In Russia, the International Classification of Diseases, 10th revision (ICD-10) has been adopted as a single normative document for recording morbidity, reasons for the population's visits to medical institutions of all departments, and causes of death.

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Russian Ministry of Health dated May 27, 1997. No. 170

The release of a new revision (ICD-11) is planned by WHO in 2017-2018 .

With changes and additions from WHO.

Processing and translation of changes © mkb-10.com

Source: http://mkb-10.com/index.php?pid=9165

8 forms of chronic bronchitis according to ICD 10

Medical workers are well acquainted with the ICD reference book, that is, the International Classification of Diseases. The document contains complete information about all diseases, their forms, diagnostic features, and provides specific recommendations regarding treatment and prevention.

The 10th revision of the directory data was carried out in 1999, and the next one is planned for 2015.

ICD-10 consists of 3 volumes, all information is divided into 21 classes and 1-, 2-, 3- and 4-digit headings. Chronic bronchitis, which manifests itself in various forms and is accompanied by complications, occupies a certain place in this classification.

Chronic bronchitis, according to the ICD, differs from acute bronchitis in that the inflammatory process in the bronchial tree is progressive and covers large areas of the organ. Typically, such irreversible lesions are observed after prolonged exposure to adverse factors (smoking, poor environment, infections).

The disease is characterized by a restructuring of the secretory apparatus of the bronchi, which leads to an increase in the volume and density of sputum, a decrease in the protective and cleansing functions of the organ. The patient suffers from a cough, which may appear periodically or be constant. In accordance with the ICD criteria, the diagnosis of “chronic bronchitis” is made when an excessive productive (wet) cough continues for at least 3 months per year over the past 2 years.

Classification of chronic form

In the CIS countries, there are two classification methods, which are based on the absence or presence of bronchial obstruction (the lumen between the walls of the bronchi narrows, which leads to disruption of their patency), in addition, the nature of the inflammatory process is taken into account.

In accordance with the data obtained, 4 main forms of the disease are distinguished:

Obstructive bronchitis has a characteristic feature - the appearance of shortness of breath, while the inflammatory process affects large and small bronchi. And for the non-obstructive form, inflammation is localized only in large sections of the bronchi. Purulent chronic bronchitis is accompanied by general intoxication of the body, the presence of purulent sputum secretions. Often chronic forms develop into more severe diseases (asthma, cor pulmonale, emphysema, etc.).

Both obstructive and non-obstructive bronchitis in chronic form has 2 phases:

  • exacerbation;
  • remission (weakening of the symptoms of the disease for some time).

The duration of these periods depends on the patient’s lifestyle, timely prevention, and the absence of bad habits.

Chronic lung diseases according to ICD-10

The ICD-10 reference book uses the term chronic obstructive pulmonary disease. The systematization of knowledge on this disease is based on centuries of medical experience and research by modern scientists. According to the document, chronic bronchitis is included in the heading J40-J47.

Each individual form of the disease corresponds to a specific code:

  • catarrhal bronchitis with tracheitis is designated as J40. However, this category does not include forms of the disease caused by exposure to chemicals, as well as asthmatic and allergic;
  • code J41 is a simple chronic form. It is accompanied by a wet cough with purulent or mucopurulent sputum. Large sections of the bronchi are affected;
  • tracheobronchitis, tracheitis, bronchitis, that is, diseases not designated as chronic, are labeled J42;
  • Primary pulmonary emphysema is manifested by shortness of breath, not accompanied by cough. This is one of the common complications of COPD in ICD-10 listed under number J43;
  • code J44 assigned to other COPD. Chronic obstructive bronchitis has a pronounced symptom - wheezing, and the patient’s condition sharply worsens;
  • Emphysema is coded J45;
  • J46 assigns the patient asthmatic status;
  • J47 is a bronchiectasis disease, which is characterized by irreversible changes in the bronchi with a suppurative process in them.

The ICD reference book is a guide for the doctor in prescribing adequate therapy. The main goal of therapeutic measures is to prevent further deterioration of the patient’s condition, lengthen periods of remission and reduce the rate of progression of the disease. Obstructive and non-obstructive bronchitis require different treatments, but great attention is paid to preventive measures.

When choosing drugs, the attending physician must pay attention to the patient’s condition, his age, gender, social living conditions and the causes of the disease.

Many doctors believe that chronic obstructive bronchitis is an irreversible process. But you can live with the disease if you eat right, prevent infectious diseases and strengthen your body. Such conclusions can be made by analyzing the statistical data presented in the ICD-10 reference book.

We recommend reading about whether antibiotics are needed in the treatment of chronic forms.

Author: infectious disease doctor, Memeshev Shaban Yusufovich

I'm studying at a medical school. I decided to become a general practitioner; I like the therapeutic specialization. Recently, while preparing for a colloquium on the classification of chronic bronchitis, I looked for information in various sources. In addition to specialized medical literature, I use the Internet to broaden my horizons. I went to this site. I believe that the information on this resource is useful not only for people far from medicine, but also for some general practitioners. Personally, I found interesting information for myself.

All information provided on this site is for reference only. Do not self-medicate. At the first sign of disease, consult a doctor. An active link is required when quoting.

Source: http://prolegkie.ru/klassifikatsiya-bronhitov/hronicheskij-bronhit-kod-po-mkb-10.html

Code of bronchitis (acute, chronic, obstructive) according to ICD-10

Knowledge of the classification of bronchitis proposed in the International Classification of Diseases, X Revision, is necessary for any doctor to maintain statistical reporting documentation and correctly register diagnoses. However, it does have some disadvantages. In particular, the approaches to identifying disease categories are such that the applicability of the classification in the daily activities of a practicing physician is quite controversial.

Bronchitis is an inflammatory disease of the mucous membrane covering the bronchial tree. Unlike pneumonia, bronchitis causes diffuse damage to the bronchi and there are no focal infiltrative changes. According to the International Classification of Diseases, Injuries and Causes of Death, Xth Revision (ICD-10), there are:

  • acute bronchitis;
  • Chronical bronchitis.

Acute bronchitis (AB) is an acutely occurring widespread inflammation of the mucous membrane of the bronchial tree, accompanied by increased production of bronchial mucus and the formation of sputum. Often combined with damage to the upper respiratory tract. The ICD-10 code for bronchitis is J20.

Chronic bronchitis (CB) is a long-term widespread inflammation of the mucous membrane lining the bronchial tree. The disease is prone to progression. It is characterized by a gradual persistent change in the mechanisms of secretory activity of the bronchial mucosa, the development of disorders of mucociliary clearance. Chronic bronchitis is considered when there is a cough with sputum for two years or more. Moreover, each year the cough lasts at least three months. Encoded by characters J40, J41, J42.

Some people suffering from CB develop obstructive disorders. Obstruction is a decrease in the lumen of the bronchi, accompanied by a disruption of the exhalation mechanism and its lengthening.

As a result of expiratory disorders, there is always a residual volume of air in the lungs that exceeds normal values ​​(air traps). Pulmonary emphysema is formed - a pathological condition characterized by increased airiness of the lungs.

The occurrence of obstruction is also possible with OB, but in this case it is reversible.

The combination of chronic disease with persistent obstructive disorders and pulmonary emphysema is called chronic obstructive pulmonary disease (COPD) - an extremely common pathology in smokers. Encoded with J44 characters. At the present stage, it is unacceptable to use the formulation “chronic obstructive bronchitis complicated by pulmonary emphysema” when making a diagnosis. Both of these concepts are included in the term chronic obstructive pulmonary disease.

The classification of bronchitis is designed for both children and adults. For OB, the main classification criterion is the etiology of the disease. In most cases, OB is a viral infection. However, identification of the pathogen in clinical practice is extremely rare. The disease is most often assigned code J20. 9.

Acute bronchitis can be caused by:

  • J20. 0 - M.pneumoniae;
  • J20. 1 - H. influenzae;
  • J20. 2 - streptococcus;
  • J20. 3 — Coxsackie virus;
  • J20. 4 — parainfluenza virus;
  • J20. 5 — respiratory syncytial virus;
  • J20. 6 - rhinovirus;
  • J20. 7 - echovirus;
  • J20. 8 - other specified agents;
  • J20. 9 - other unspecified agents.

Unspecified (acute or chronic) bronchitis J40 is not otherwise classified.

Chronic bronchitis is classified depending on the nature of the sputum:

  • J41. 0—simple CB;
  • J41. 1 — mucopurulent chronic disease;
  • J41. 8 - mixed cotton wool.

Nonspecific CB J42 may be called chronic tracheitis or chronic tracheobronchitis.

COPD is divided depending on the period of the disease (exacerbation/remission):

  • J44. 0 — COPD with acute respiratory infection of the lower respiratory tract;
  • J44. 1 — COPD with exacerbation, unspecified;
  • J44. 8 — other specified COPD;
  • J44. 9 — COPD, unspecified.

Diseases of the lung tissue caused by external agents (chemicals, dust, etc.) do not relate to bronchitis and are discussed in other sections - J60-J70. The term "allergic bronchitis" is also not used. It has been completely replaced by the concept of bronchial asthma (code J45).

In everyday practice, Russian doctors resort to the domestic classification to make a diagnosis. In accordance with it, acute bronchitis (obstructive or non-obstructive) and chronic are distinguished. Chronic obstructive pulmonary disease is considered separately.

The classification of inflammatory diseases of the bronchi according to ICD-10 with its etiological approach in Russia has little practical significance. It is mainly used as a source of statistical data.

All information on the site is provided for informational purposes. Before using any recommendations, be sure to consult your doctor.

Full or partial copying of information from the site without providing an active link to it is prohibited.

Source: http://lecheniegorla.ru/xronicheskij-bronxit-kod-po-mkb-10/

Chronic obstructive bronchitis: symptoms and treatment in adults and children, ICD code 10

Obstructive bronchitis (OB) is a serious disease of the upper respiratory tract. It begins with inflammation of the lining of the bronchi, then a spasm joins the inflammation, during which all the mucus accumulates in the organs of the respiratory system. In most cases, breathing is difficult with these symptoms.

The most serious symptom of this bronchitis is acute obstruction (most often found in children) - a slow narrowing of the lumen of the bronchi. Pathological wheezing occurs.

Disease code according to ICD-10

According to the international classification of diseases, it belongs to class 10. It has the code J20, J40 or J44. Class 10 is respiratory diseases. J20 is acute bronchitis, j40 is bronchitis as unspecified, chronic or acute and j44 is other chronic obstructive pulmonary disease.

Symptoms and risk factors

Obstructive bronchitis can be divided into two types:

  • Primary, it is in no way related to other diseases;
  • Secondary is associated with concomitant diseases. These include kidney disease (renal failure) and cardiovascular disease; other respiratory diseases;

Risk factors for primary obstructive bronchitis:

  • Smoking (also passive);
  • Contaminated air;
  • Profession (work in a dusty, poorly ventilated area, work in a mine or quarry);
  • Age (children and elderly people are most often affected);
  • Genetic predisposition (if there is a family history of such a disease, it occurs mainly in women).

The main ones can be identified as follows: Haemophilus influenzae, it occurs in half of the cases, pneumococcus, it accounts for about 25%, as well as chlamydia, mycoplasma, Staphylococcus aureus and Pseudomonas aeruginosa, they each account for 10% of cases.

Symptoms of acute and chronic form

Chronic bronchitis is classified according to the nature of the sputum:

Catarrhal bronchitis occurs in its mildest form and is characterized by a diffuse inflammatory process that does not affect the tissues of the bronchi and lungs. Light sputum contains only mucus.

Catarrhal-purulent - when examining sputum, purulent discharge is found in the mucus.

Purulent obstructive bronchitis - when the patient coughs, purulent exudate is released. When examining sputum, purulent discharge will be present in large quantities.

  • In the first 2-3 days of illness, a dry cough is observed;
  • At about 3-4 days, the cough becomes wet, and depending on the degree of obstruction of mucus in the bronchial mucosa, it is divided into obstructive and non-obstructive;
  • Headache;
  • The temperature rise does not exceed 38 degrees;
  • Dyspnea;
  • Respiratory dysfunction.

Symptoms of the chronic form:

  • Relatively satisfactory condition;
  • Isolation of a small amount of mucopurulent and purulent sputum;
  • The period of exacerbation is most often winter;
  • Mostly adults over 40 years of age are affected.

Acute bronchitis often develops in children in the first year of life, since children at this age are predominantly in a horizontal position.

Due to this position of the body, when a child begins to have an acute respiratory viral infection accompanied by a runny nose, the mucus cannot properly come out and descends into the bronchi.

A child at this age cannot cough up mucus, which complicates the treatment and recovery process. Most cases of acute bronchitis are caused by a virus.

Obstructive bronchitis occurs in children approximately 2 to 3 years old, and this is due to the physiology of the child. Children at this age have a narrow lumen of the bronchi. Signs of the disease can develop already on the first day of acute respiratory viral infection (earlier than with acute bronchitis).

Symptoms of acute bronchitis:

  • Fever 2–3 days;
  • General weakness;
  • Cough;
  • The nasolabial triangle turns blue;
  • Dyspnea;
  • Bloating of the chest;
  • The temperature remains within normal limits;
  • Restless behavior;
  • Breathing becomes noisy whistling;
  • The child often changes body position;
  • The chest is enlarged;
  • On auscultation - dry whistling rales, as well as a large number of medium and large bubbling rales;
  • General condition is satisfactory;

Chronic obstructive bronchitis affects adults and only in rare cases children. This disease lasts for several years and only gets worse over the years, the period of remission becomes shorter, and the course of exacerbation becomes more severe. Some symptoms, such as shortness of breath, do not go away and remain with the patient constantly.

Diagnosis of the disease

Usually, examination and analysis of physical data are sufficient to confirm the diagnosis. As mentioned above, in a patient with a disease such as obstructive bronchitis, the chest will be enlarged; when examined with a phonendoscope, whistling and buzzing sounds will be heard in the lungs.

But for reliability, it is worth conducting a sputum analysis in order to exclude asthma, whooping cough or a foreign body in the bronchi. To complete the data, you will need to donate blood to see the indicators of ESR and leukocytes; in case of a viral infection, these indicators will be increased.

Treatment

Treatment of obstructive bronchitis usually takes place on an outpatient basis, with the only exception being children under 3 years of age in severe cases. During treatment, it is necessary to exclude all types of irritants (dust, perfumes, cigarette smoke, household chemicals).

The room where the patient is located must be well ventilated and humidified. Rest and rest are also indicated for this disease. To remove sputum, mucolytic and bronchodilator drugs are prescribed.

To avoid complications and transition from an acute to a chronic condition, the main therapy will be the use of antiviral drugs. The use of antibiotics is justified only if there is no visible improvement and pneumonia is suspected.

Drug treatment

Bronchodilator therapy is in most cases the main method of treating obstructive bronchitis, as it allows you to restore airway patency. There are drugs that last from 12 to 24 hours, which make life much easier for patients.

But it is true that when more intensive bronchodilator therapy is needed, they are not suitable, since there is a risk of overdose. In such cases, more “controlled” drugs are used, for example, Berodual.

It is a symbiosis of two bronchodilators (Fenoterol and Ipratropium bromide). By relaxing blood vessels and smooth muscles of the bronchi, it helps prevent the development of bronchospasm.

Berodual also releases mediators from inflamed cells, has the properties of stimulating respiration, and also reduces the secretion of the bronchial glands.

Mucolytic therapy is aimed at thinning mucus in the bronchi and removing it from the patient’s body.

There are several groups of mucolytics:

  1. Vasicinoids. Vasicinoids and mucolytics, these drugs do not have side effects like the previous groups. They can be used in pediatrics.

Representatives of vasicinoids are ambroxol and bromhexine.

Bromhexine is a derivative of vasicine, created synthetically, providing a mucolytic effect. Ambroxol is a new generation medicine that is approved for nursing mothers and pregnant women.

  • Enzymatic. This group of drugs is not recommended for use in pediatrics, since damage to the pulmonary matrix is ​​possible. Because they have a long list of side effects such as coughing up blood and allergies.
  • Thiol-containing. The thiol-containing drug acetylcystiine is capable of breaking down disulfide bonds of mucus.

    But its use in pediatrics is also inappropriate due to the possibility of bronchospasms and suppression of the actions of ciliated cells, which protect the bronchi from infections.

  • Mucolytics are mucoregulators. Representatives of mucolytics - mucoregulators are carbocysteine ​​derivatives, which have both a mucolytic (reduce the viscosity of mucus) and a mucoregulatory effect (reduce the production of mucus).

    In addition, this group of drugs helps restore the bronchial mucosa and regenerate it.

    • Another group of drugs prescribed to patients with obstructive bronchitis are corticosteroids. I prescribe them only when quitting smoking and bronchodilator therapy do not help.

    The ability to work is lost, and airway obstruction remains severe. The drugs are usually prescribed in tablet form, less often injections.

    Bronchodilator therapy remains the mainstay; corticosteroids are emergency treatment for this disease. The most common medicine in this group is Prednisolone.

    Speaking about traditional medicine, you should not completely rely on it and self-medicate, but it can be used as an auxiliary therapy for the main treatment prescribed by a doctor.

    Here are some tips for treatment:

    • To stop an incipient cough, you need to drink warm milk with propolis dissolved in it (15 drops).
    • Black turnip and honey are great for removing mucus. Take a turnip, wash it well, cut out the middle and put a spoonful of honey there.

    When the turnip gives juice, which mixes with honey, the infusion is ready. You need to drink it 3-4 times a day, a teaspoon.

    Antibiotics for obstructive bronchitis

    As mentioned above, antibiotics are prescribed only for bronchitis caused by a bactericidal infection.

    In all other cases, the use of antibiotics is unjustified and can lead to the opposite effect - dysbiosis, development of resistance to this drug, decreased immunity and allergic reactions. Therefore, you should take antibiotics only as prescribed by your doctor and the dosage and regimen prescribed by him.

    Urgent Care

    Broncho-obstructive syndrome is a general symptom complex that includes disorders of bronchial obstruction, based on occlusion or narrowing of the airways.

    To alleviate this syndrome, it is better to inhale using a nebulizer and Berodual solution, this will help quickly restore respiratory function. If you don’t have a nebulizer at hand or the ability to use one, you can use this drug in the form of an aerosol.

    Prevention

    Smoking cessation plays an important role in the prevention of obstructive bronchitis. It is also worth saying about the room where a person works and lives, it must be ventilated, humidified and clean.

    For people with weakened immune systems, it is worth taking immunomodulators to avoid catching an infection, which in turn can lead to a relapse of the disease

    Source: http://stopzaraza.com/infections/obshhie/xronicheskij-bronxit.html

    Obstructive bronchitis: ICD 10 code and classification features

    The main objective of the International Classification of Diseases, Tenth Revision, developed in 1990, is to create a kind of database that facilitates the systematic registration, analysis and interpretation of data on morbidity, prevalence and mortality from various pathologies. And how is chronic and acute obstructive bronchitis classified: ICD code 10 of these diseases has its own characteristics.

    Alphanumeric code - the basis of the ICD

    The ICD has found wide application not only in studies by epidemiologists, statisticians and other healthcare representatives, but also at all levels of practical medicine. Using a short alphanumeric code, you can formulate any disease or other health-related problems.

    This provides convenience:

    For example, all respiratory diseases have a code consisting of the letter J and a two-digit number (00-99).

    This is interesting. Knowledge of the ICD is also necessary when filling out sick leave. There should not be a direct indication of the diagnosis - the doctor enters only an alphanumeric code, which allows maintaining the confidentiality of the data.

    Basics of the classification of obstructive bronchitis

    Obstructive bronchitis in medicine is a disease accompanied by inflammatory damage to the bronchi of medium and small caliber, their spasm, as well as progressive impairment of pulmonary ventilation.

    Most often, the development of the disease is associated with the action of viruses. The influence of microorganisms such as chlamydia and mycoplasma cannot be ruled out.

    Typical symptoms of obstructive bronchitis include:

    • expiratory shortness of breath (difficulty exhaling);
    • cough with difficult to clear viscous sputum;
    • wheezing;
    • signs of respiratory failure.

    Diagnosis of pathology is based on typical complaints, objective status, lung auscultation data, radiography and examination of external respiratory functions.

    In treatment, medical instructions provide for the use of:

    • bronchodilators;
    • inhalations with corticosteroids;
    • antispasmodics;
    • antibiotics;
    • mucolytics.

    The generally accepted classification of bronchitis is its division into acute and chronic. The features of these forms of the disease are described in the sections below and the video in this article.

    Note! According to ICD 10, acute obstructive bronchitis belongs to class X (respiratory diseases). The chronic form of the pathology is also classified.

    Spicy

    Acute obstructive bronchitis according to ICD 10 has code J20. In some cases, another number is indicated after the dot - it reflects a specific pathogen.

    Table: Classification of acute bronchitis by etiology:

    Note! Acute obstructive bronchitis is most often diagnosed in childhood. This is due to the physiologically increased reactivity of the bronchi inherent in small patients.

    As a rule, symptoms of the acute form of the disease develop against the background of an upper respiratory tract infection - nasopharyngitis, sinusitis, adenoiditis. The course of the pathology is acute.

    The patient’s body temperature rises (usually no higher than 38-38.5 °C) and the following symptoms develop:

    • general weakness, fatigue;
    • decreased appetite;
    • dry, unproductive cough with difficult to separate viscous sputum;
    • expiratory dyspnea.

    In severe cases, signs of respiratory failure may occur:

    • initial stage – absence of symptoms of DN at rest; with physical exertion, shortness of breath may increase and respiratory rate may increase;
    • subcompensated stage - shortness of breath at rest, orthopnea, participation of auxiliary muscles in the act of breathing, cyanosis of the nasolabial triangle, tachycardia and tachypnea;
    • decompensated stage – forced position of the patient, pronounced cyanosis of the skin and mucous membranes, decreased blood pressure;
    • terminal stage - the patient’s condition is very serious, possible depression of consciousness up to coma, the appearance of pathological breathing (Cheyne-Stokes, Biota).

    Note! Medical assistance for symptoms of respiratory failure should be provided as early as possible. The price of delay is human life.

    Diagnosis and treatment of mild to moderate acute forms of respiratory tract inflammation are carried out on an outpatient basis. Severe disease is an indication for urgent hospitalization. Therapy in a hospital is also required for young patients in the first year of life, regardless of the severity of the condition.

    Chronic

    Chronic obstructive bronchitis has code J44 (according to the ICD - another chronic obstructive disease).

    This alphanumeric combination encodes:

    • obstructive bronchitis;
    • obstructive tracheobronchitis;
    • emphysematous bronchitis with airway obstruction;
    • bronchitis with emphysema.

    The main factors in the development of chronic inflammation of the bronchi with obstruction are:

    • smoking (both active and passive);
    • Work in hazardous industries (for example, in contact with silicon, cadmium);
    • Unfavorable external environmental conditions, high air pollution.

    Note! According to statistics, obstructive bronchitis most often affects men - miners, metallurgists, and agricultural workers.

    As with the acute form of the disease, the basis of the clinical picture of acute bronchitis is cough and shortness of breath. The cough is dry and unproductive.

    A small amount of sputum may be produced per day, but it does not bring relief - soreness and discomfort in the chest persist for a long time. General signs of intoxication are slightly expressed: the development of weakness, increased fatigue, and decreased performance is possible. Body temperature in chronic bronchitis, as a rule, remains normal.

    According to the recommendation of the Russian Society of Pulmonologists, the severity of chronic obstructive bronchitis is assessed using one of the spirometry indicators - forced expiratory volume in one second:

    1. Stage I - FEV1 is reduced by no more than 50%. At this stage, the signs of DN are slightly expressed, the patient’s quality of life practically does not suffer. Regular visits to the local physician and preventive measures aimed at reducing the number of exacerbations are indicated. Clinical observation by a pulmonologist is not required.
    2. Stage II - FEV1 is 35-49% of predicted. The patient's quality of life decreases and requires constant supportive treatment and supervision by a pulmonologist.
    3. Stage III - FEV1 less than 35%. A severe form of pathology, characterized by a sharp decrease in tolerance to physical activity and the appearance of signs of respiratory failure at rest. The patient requires regular inpatient and supportive outpatient treatment.

    The goal of therapy for chronic obstructive bronchitis is to slow the progression of the pathological process, reduce the frequency and duration of bronchospasm attacks, and improve the quality of life. The treatment plan is drawn up by the doctor individually depending on the clinical manifestations and instrumental examination data.

    Thus, obstructive bronchitis can be classified according to its course, which is reflected in the tenth revision of the ICD, and according to severity. Any form of the disease requires contacting a specialist for timely and comprehensive therapeutic and diagnostic measures.

    I would like to read more about childhood obstructive bronchitis, this diagnosis is often made even without testing, is this correct?? And how can this affect your future life? Health to everyone!

    Hello. At the age of 12, my tonsils were removed. Now I'm 40 years old. After removal, there is a constant sore throat and cough, and the complete impression is that it is from the bronchi. None of the specialists could help. Maybe you can tell me what treatment methods I should use. Thank you in advance.

    To choose the correct medication, you must consult a doctor: there are types of cough that occur when the mucous membrane of the throat is irritated and do not require the use of expectorants, mucolytics or drugs that suppress the cough reflex.

    Hello, have you tried the folk remedy, black radish with honey:

    To prepare the product you need to find a small radish. Only black radish is used. The fruit must be washed thoroughly (preferably with a brush). Then, using a knife, remove the core from the radish (a deep circular cut is made). The fruit should become cup-shaped (a depression should form).

    Add one spoon of honey into the formed depression (depending on the size of the radish, add a teaspoon or a tablespoon). It is not recommended to fill the hole to the brim: during cooking, the resulting juice will spill over the edge. Next, you should place the radish in a bowl: depending on the size of the fruit, a regular glass or 0.5 liter jar will do.

    The radish prepared in this way is left at room temperature for several hours. At this time, the cut out core with the “hat” can be returned to its place. After about 4-5 hours, the fruit will release juice. It’s even better if the fruit is “infused” overnight. The resulting juice is used as a medicine. The same fruit can be used for several days (the main thing is to add honey periodically).

    The rules for taking this product are simple: adults can take a tablespoon up to 4 times a day. For children, the dosage is halved (taken a teaspoon up to 4 times a day).

    I myself have a decent cough, sometimes I even choke. I work on a rotational basis at a gas field, we are constantly on the street, you know. As soon as I get home, the cough stops, and after a certain time I got used to it, so I drink some syrup and everything seems to help, the cough is mainly at night when I sleep. Thank you for the article and for all the detailed descriptions of the symptoms, there is something to pay attention to, and most importantly, I know which specialist to contact. And you understand, I don’t understand these medical specialties at all and I don’t know who to go to. Thanks again for the article, you are doing a great job.

    Yes, as a child I myself often suffered from obstructive bronchitis, but then my mother took me to the figure skating section and I gradually began to get sick less and less, and now I’m practically not sick at all)))

    What can cause bronchitis? And is it possible to cure bronchitis without an antibiotic?

    in social networks

    Use of site materials is possible only if there is an active link to the source.

    All recommendations given on the site are for informational purposes only and do not constitute a prescription for treatment.

    Source: http://upulmanologa.ru/etiologiya-i-patogenez-boleznej-legkih/obstruktivnyj-bronhit-kod-po-mkb-10-27

    Obstructive bronchitis (acute, chronic) according to ICD 10

    Medicine is constantly looking for new ways to cure various diseases, preventive measures to prevent them, and also tries to do everything possible to ensure that people live long. There are a lot of pathologies in the world, so to make it easier for doctors, a special taxonomy was created, which is called ICD - International Classification of Diseases.

    What is obstructive bronchitis according to ICD 10

    Obstructive bronchitis according to ICD 10 is an inflammation of the respiratory system, which is accompanied by spasm of the bronchi and narrowing of the tubules. Most often, elderly people and young children suffer from pathology, because they have a weakened immune system and are susceptible to various bacterial diseases.

    With normal therapy, the prognosis for life is favorable, however, in some cases the disease can result in death. To get rid of obstructive bronchitis, doctors prescribe standard treatment, which includes:

    • anti-inflammatory drugs;
    • antibacterial medications;
    • glucocorticosterone drugs.

    When the disease is still in its early stages, you can start using folk recipes in parallel with medications. This can be taking decoctions, herbs, tinctures.

    It is also important to be completely calm, so you need to stay in bed, follow a diet, and drink a lot. You definitely need walks in the fresh air and regular ventilation.

    Obstructive bronchitis ICD 10 is divided into acute and chronic phases. The acute phase is different in that the symptoms are very severe, but recovery occurs quickly - within a month. The chronic type is accompanied by periodic relapses with deterioration in the patient's health.

    Depending on the nature of the pathology, the acute phase is also divided into two types:

    • Infectious. Occurs due to the penetration of an infectious source into the human body.
    • The chemical type occurs when vapors of formaldehyde and acetone enter the respiratory tract.
    • The mixed type is accompanied by the appearance in the body of two of the above types at once.

    If the pathology appears as a complication after suffering a disease of the respiratory system, then this process is secondary and is much more difficult to treat. The nature of inflammation in bronchitis can also be divided into purulent and catarrhal.

    The disease can occur in different ways, therefore obstructive and non-obstructive types are distinguished. In the second case, the disease is not accompanied by problems with ventilation, so the outcome for the patient’s life is favorable.

    ICD code 10 acute bronchitis

    Acute obstructive bronchitis code according to ICD 10 - j 20.0, which contains 10 precise diagnoses, differing in the type of causative agent of the disease.

    Chronic obstructive bronchitis code according to ICD 10 -j 44.0, while the occurrence of the disease after influenza is excluded.

    Obstructive bronchitis in children, as described by ICD 10, occurs rapidly and is very similar in symptoms to a cold.

    Nature of occurrence

    Obstructive bronchitis can appear under the influence of a wide variety of factors:

    • hypothermia;
    • weakening of the immune system;
    • bad habits such as smoking and drinking alcohol;
    • exposure to toxic and irritating components;
    • allergic reaction.

    Antigens, viruses and microorganisms, when they penetrate a person, are perceived by the body as foreign substances that need to be gotten rid of. Therefore, the body begins to actively produce antibodies designed to identify and destroy foreign bodies that have entered there. Lymphocytes and macrophages actively bind to harmful particles, engulf them, digest them, and then produce memory cells so that the immune system remembers them. The whole process is accompanied by inflammation, sometimes even with a rise in temperature.

    In order for immune cells to quickly find the source of the disease, increased blood circulation begins, including to the bronchial mucosa. A large amount of biologically active substances begins to be synthesized. Due to the influx of blood, the mucous membrane begins to expand and acquires a red tint. There is a secretion of mucous secretion from the tissues that line the internal cavity of the bronchi.

    This provokes the appearance of a dry cough, which over time begins to turn into a wet one. This happens because the amount of mucus produced increases. If pathogenic bacteria enter the trachea, the disease turns into tracheobronchitis, which has an ICD code of j20.

    Symptoms

    All pathologies of the respiratory system, and acute obstructive bronchitis, have a similar set of symptoms:

    • lethargy;
    • deterioration of general health;
    • dizziness or headache;
    • cough;
    • the appearance of a runny nose;
    • wheezing, accompanied by noise and whistling;
    • myalgia;
    • temperature increase.

    When poor bronchial obstruction occurs, the following symptoms occur:

    • dyspnea;
    • breathing problems;
    • the appearance of a blue tint on the skin (cyanosis);
    • continuous dry cough with periodic exhalation;
    • fine wheezing;
    • discharge of sputum or mucus from the nose with a large amount of pus;
    • breathing accompanied by whistling.

    This disease is most active in the autumn-spring period, when all ailments begin to worsen. Newborn children suffer the most from it. At the last stage, the following signs appear:

    • severe paroxysmal cough that occurs when inhaling;
    • pain arising behind the sternum, in the place of the diaphragm;
    • breathing is harsh with pronounced wheezing;
    • sputum may contain impurities of blood and pus.

    Diagnostics

    To detect obstructive bronchitis according to ICD 10, the doctor must prescribe a number of diagnostic procedures:

    • General inspection. The attending physician must listen to the lungs and palpate the throat.
    • X-ray. On an x-ray, the disease appears as dark spots.
    • Biochemical and general blood test.
    • Analysis of urine.
    • Check for external respiration.
    • Bronchoscopy.
    • Immunological methods.
    • Microscopic analysis of sputum, as well as checking it for bacterial flora (bacterial culture).

    If there is a suspicion that the patient is beginning to have tracheobronchitis, then a number of additional studies are completed:

    • Ultrasound examination of the respiratory system.
    • Spirometry.

    Treatment

    Treatment of obstructive bronchitis should be comprehensive and based on the nature of the disease. Conservative treatment includes:

    • Taking medications. Based on the test results and the type of bacterial pathogen, antibacterial drugs are prescribed.
    • Antiviral medications (if the culprits of the disease are viral particles); antiallergic drugs (if it is allergic in nature); anti-inflammatory, to relieve inflammation; expectorants for better expectoration; mucolytic drugs.
    • Traditional methods.
    • Physiotherapeutic procedures.

    Inpatient treatment is indicated if the patient is at risk of developing auxiliary diseases or complications.

    As an auxiliary aid, folk recipes will be useful to help you recover faster. For treatment you can use:

    • Compresses that improve blood circulation and are applied to the bronchi area.
    • Rubbing with warming oils and gels that improve mucus discharge. Such remedies can include badger fat, fir oil, and turpentine ointment.
    • Taking herbal remedies, which can have very different effects on the body.
    • Massage procedures are useful.
    • Inhalation using a nebulizer.
    • Aeroionotherapy.
    • Electrophoresis.
    • Gymnastics.

    Prevention of obstructive bronchitis ICD 10

    Preventive measures are recommended to further prevent the disease. These include:

    • strengthening the immune system;
    • develop a proper nutrition system;
    • taking multivitamin complexes;
    • constant physical activity;
    • hardening;
    • stop smoking and drinking alcoholic beverages.

    If you ignore treatment or do not follow it properly, then the acute phase turns into chronic. One of the dangerous consequences can be bronchial asthma. Elderly people and young children may experience acute renal or respiratory failure. To learn more about acute obstructive bronchitis according to ICD 10:

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    ICD 10. Class X (J00-J99)

    ICD 10. Class X. Respiratory diseases (J00-J99)

    Note• If respiratory damage involves more than one

    anatomical area not specifically designated, its

    should be classified according to the anatomically lower location (for example, tracheobronchitis is coded

    Excludes: selected conditions arising in the perinatal period (P00-P96)

    some infectious and parasitic diseases (A00-B99)

    complications of pregnancy, childbirth and the puerperium (O00-O99)

    congenital anomalies, deformities and chromosomal disorders (Q00-Q99)

    diseases of the endocrine system, nutritional disorders and metabolic disorders (E00-E90)

    injuries, poisoning and some other consequences of external causes (S00-T98)

    symptoms, signs, deviations from the norm, identified during clinical and laboratory tests, not classified in other headings (R00-R99)

    This class contains the following blocks:

    J00-J06 Acute respiratory infections of the upper respiratory tract

    J20-J22 Other acute respiratory infections of the lower respiratory tract

    J30-J39 Other upper respiratory tract diseases

    J40-J47 Chronic diseases of the lower respiratory tract

    J60-J70 Lung diseases caused by external agents

    J80-J84 Other respiratory diseases affecting primarily interstitial tissue

    J85-J86 Purulent and necrotic conditions of the lower respiratory tract

    The following categories are marked with an asterisk:

    J17* Pneumonia in diseases classified elsewhere

    J91* Pleural effusion in conditions classified elsewhere

    J99* Respiratory disorders in diseases classified elsewhere

    ACUTE RESPIRATORY INFECTIONS OF THE UPPER RESPIRATORY TRACT (J00-J06)

    Excludes: chronic obstructive pulmonary disease with exacerbation of NOS (J44.1)

    J00 Acute nasopharyngitis (runny nose)

    Acute catarrh of the nose

    Excludes: chronic nasopharyngitis (J31.1)

    J01 Acute sinusitis

    empyema > acute, sinus

    infection > (adnexal) (nasal)

    If necessary, identify the infectious agent

    Excludes: chronic sinusitis or NOS (J32. -)

    J01.0 Acute maxillary sinusitis. Acute anthritis

    J01.1 Acute frontal sinusitis

    J01.2 Acute ethmoidal sinusitis

    J01.3 Acute sphenoidal sinusitis

    J01.8 Other acute sinusitis. Acute sinusitis involving more than one sinus, but not pansinusitis

    J01.9 Acute sinusitis, unspecified

    J02 Acute pharyngitis

    Included: acute sore throat

    acute laryngopharyngitis (J06.0)

    J02.0 Streptococcal pharyngitis. Streptococcal sore throat

    J02.8 Acute pharyngitis caused by other specified pathogens

    If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

    Excluded: caused (by):

    J02.9 Acute pharyngitis, unspecified

    J03 Acute tonsillitis

    Excludes: peritonsillar abscess (J36)

    J03.0 Streptococcal tonsillitis

    J03.8 Acute tonsillitis caused by other specified pathogens

    If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

    Excludes: pharyngotonsillitis caused by herpes simplex virus (B00.2)

    J03.9 Acute tonsillitis, unspecified

    J04 Acute laryngitis and tracheitis

    If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

    Excluded: acute obstructive laryngitis [croup] and epiglottitis (J05. -)

    • under the vocal apparatus itself

    Excludes: chronic laryngitis (J37.0)

    influenza laryngitis, influenza virus:

    Excludes: chronic tracheitis (J42)

    J04.2 Acute laryngotracheitis. Laryngotracheitis

    Tracheitis (acute) with laryngitis (acute)

    Excludes: chronic laryngotracheitis (J37.1)

    J05 Acute obstructive laryngitis [croup] and epiglottitis

    If necessary, identify the infectious agent

    J05.0 Acute obstructive laryngitis [croup]. Obstructive laryngitis NOS

    J05.1 Acute epiglottitis. Epiglottitis NOS

    J06 Acute upper respiratory tract infections of multiple and unspecified localization

    Excludes: acute respiratory infection NOS (J22)

    J06.0 Acute laryngopharyngitis

    J06.8 Other acute infections of the upper respiratory tract of multiple localization

    J06.9 Acute upper respiratory tract infection, unspecified

    Upper respiratory tract:

    FLU AND PNEUMONIA (J10-J18)

    J10 Influenza caused by an identified influenza virus

    Excluded: caused by Haemophilus influenzae

    J10.0 Influenza with pneumonia, influenza virus identified. Influenza (broncho) pneumonia, influenza virus identified

    J10.1 Influenza with other respiratory manifestations, influenza virus identified

    • acute respiratory infection > influenza virus

    upper respiratory tract > identified

    J10.8 Influenza with other manifestations, influenza virus identified

    Influenza: > influenza virus

    J11 Influenza, virus not identified

    Included: influenza > mention of identification

    viral flu > no virus

    Excluded: caused by Haemophilus influenzae [bacillus

    J11.0 Influenza with pneumonia, virus not identified

    Influenza (broncho)pneumonia, unspecified or without mention of virus identification

    J11.1 Influenza with other respiratory manifestations, virus not identified. Flu NOS

    • acute respiratory infection > unspecified

    upper respiratory tract > or the virus is not

    J11.8 Influenza with other manifestations, virus not identified

    Encephalopathy caused by influenza >

    • gastroenteritis > or virus not

    • myocarditis (acute) > identified

    J12 Viral pneumonia, not elsewhere classified

    Included: bronchopneumonia caused by viruses other than influenza virus

    Excludes: congenital rubella pneumonitis (P35.0)

    J12.0 Adenoviral pneumonia

    J12.1 Pneumonia due to respiratory syncytial virus

    J12.2 Pneumonia caused by parainfluenza virus

    J12.8 Other viral pneumonia

    J12.9 Viral pneumonia, unspecified

    J13 Pneumonia caused by Streptococcus pneumoniae

    Bronchopneumonia caused by S• pneumoniae

    Excluded: congenital pneumonia caused by S. pneumoniae (P23.6)

    pneumonia caused by other streptococci (J15.3-J15.4)

    J14 Pneumonia caused by Haemophilus influenzae [Afanasyev-Pfeiffer bacillus]

    Bronchopneumonia caused by H• influenzae

    Excludes: congenital pneumonia caused by H. influenzae (P23.6)

    J15 Bacterial pneumonia, not elsewhere classified

    Included: bronchopneumonia caused by other than

    S.pneumoniae and H.influenzae bacteria

    Excludes: pneumonia caused by chlamydia (J16.0)

    J15.0 Pneumonia caused by Klebsiella pneumoniae

    J15.1 Pneumonia caused by Pseudomonas (Pseudomonas aeruginosa)

    J15.2 Pneumonia caused by staphylococcus

    J15.3 Pneumonia due to group B streptococcus

    J15.4 Pneumonia caused by other streptococci

    Excluded: pneumonia caused by:

    J15.6 Pneumonia caused by other aerobic gram-negative bacteria. Pneumonia caused by Serratia marcescens

    J15.7 Pneumonia caused by Mycoplasma pneumoniae

    J15.8 Other bacterial pneumonia

    J15.9 Bacterial pneumonia, unspecified

    J16 Pneumonia caused by other infectious agents, not elsewhere classified

    J16.0 Pneumonia caused by chlamydia

    J16.8 Pneumonia caused by other specified infectious agents

    J17* Pneumonia in diseases classified elsewhere

    J17.0* Pneumonia due to bacterial diseases classified elsewhere

    J17.1* Pneumonia due to viral diseases classified elsewhere

    J17.2* Pneumonia due to mycoses

    J17.3* Pneumonia due to parasitic diseases

    J17.8* Pneumonia in other diseases classified elsewhere

    • spirochetosis, not elsewhere classified (A69.8+)

    J18 Pneumonia without specifying the pathogen

    Excludes: lung abscess with pneumonia (J85.1)

    drug-induced interstitial lung diseases (J70.2-J70.4)

    J18.0 Bronchopneumonia, unspecified

    J18.1 Lobar pneumonia, unspecified

    J18.2 Hypostatic pneumonia, unspecified

    J18.8 Other pneumonia, causative agent not specified

    J18.9 Pneumonia, unspecified

    OTHER ACUTE RESPIRATORY INFECTIONS

    LOWER RESPIRATORY TRACT (J20-J22)

    Excluded: chronic obstructive pulmonary disease with:

    • acute respiratory infection of the lower respiratory tract (J44.0)

    J20 Acute bronchitis

    J20.0 Acute bronchitis caused by Mycoplasma pneumoniae

    J20.1 Acute bronchitis caused by Haemophilus influenzae [Afanasyev-Pfeiffer bacillus]

    J20.2 Acute bronchitis caused by streptococcus

    J20.3 Acute bronchitis caused by Coxsackie virus

    J20.4 Acute bronchitis caused by parainfluenza virus

    J20.5 Acute bronchitis caused by respiratory syncytial virus

    J20.6 Acute bronchitis caused by rhinovirus

    J20.7 Acute bronchitis caused by echovirus

    J20.8 Acute bronchitis caused by other specified agents

    J20.9 Acute bronchitis, unspecified

    J21 Acute bronchiolitis

    Included: with bronchospasm

    J21.0 Acute bronchiolitis caused by respiratory syncytial virus

    J21.8 Acute bronchiolitis caused by other specified agents

    J21.9 Acute bronchiolitis, unspecified. Bronchiolitis (acute)

    J22 Acute respiratory infection of the lower respiratory tract, unspecified

    Acute respiratory infection (lower) (respiratory tract) NOS

    Excludes: upper respiratory tract respiratory infection (acute) (J06.9)

    OTHER UPPER RESPIRATORY TRACT DISEASES (J30-J39)

    J30 Vasomotor and allergic rhinitis

    Included: spasmodic runny nose

    Excludes: allergic rhinitis with asthma (J45.0)

    J30.1 Allergic rhinitis caused by pollen. Allergy NOS caused by pollen

    Hay fever. Hay fever

    J30.2 Other seasonal allergic rhinitis

    J30.3 Other allergic rhinitis. Year-round allergic rhinitis

    J30.4 Allergic rhinitis, unspecified

    J31 Chronic rhinitis, nasopharyngitis and pharyngitis

    J31.0 Chronic rhinitis. Ozena

    J31.1 Chronic nasopharyngitis

    Excludes: acute nasopharyngitis or NOS (J00)

    J31.2 Chronic pharyngitis. Chronic sore throat

    Excludes: acute pharyngitis or NOS (J02.9)

    J32 Chronic sinusitis

    empyema > chronic sinus

    infection > (adnexal) (nasal)

    If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

    J32.0 Chronic maxillary sinusitis. Anthritis (chronic). Maxillary sinusitis NOS

    J32.1 Chronic frontal sinusitis. Frontal sinusitis NOS

    J32.2 Chronic ethmoidal sinusitis. Ethmoidal sinusitis NOS

    J32.3 Chronic sphenoidal sinusitis. Sphenoidal sinusitis NOS

    J32.4 Chronic pansinusitis. Pansinusitis NOS

    J32.8 Other chronic sinusitis. Sinusitis (chronic) involving more than one sinus but not pansinusitis

    J32.9 Chronic sinusitis, unspecified. Sinusitis (chronic) NOS

    J33 Nasal polyp

    Excluded: adenomatous polyps (D14.0)

    J33.1 Polyposis sinus degeneration. Wakes syndrome or ethmoiditis

    J33.8 Other sinus polyps

    J33.9 Nasal polyp, unspecified

    J34 Other diseases of the nose and sinuses

    Excludes: varicose ulcer of the nasal septum (I86.8)

    J34.0 Abscess, boil and carbuncle of the nose

    Necrosis > nose (septum)

    J34.1 Nasal sinus cyst or mucocele

    J34.2 Displaced nasal septum. Deviation or displacement of the septum (nasal) (acquired)

    J34.3 Turbinate hypertrophy

    J34.8 Other specified diseases of the nose and nasal sinuses. Perforation of the nasal septum NOS. Rhinolit

    J35 Chronic diseases of the tonsils and adenoids

    J35.0 Chronic tonsillitis

    J35.1 Hypertrophy of the tonsils. Enlarged tonsils

    J35.2 Adenoid hypertrophy. Enlarged adenoids

    J35.3 Hypertrophy of tonsils with hypertrophy of adenoids

    J35.8 Other chronic diseases of the tonsils and adenoids

    Adenoid growths. Amygdalolite. Scar of the tonsil (and adenoid). Tonsillar "marks". Tonsil ulcer

    J35.9 Chronic disease of the tonsils and adenoids, unspecified. Disease (chronic) of tonsils and adenoids NOS

    J36 Peritonsillar abscess

    Tonsil abscess. Peritonsillar cellulitis. Quincy

    If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

    Excludes: retropharyngeal abscess (J39.0)

    J37 Chronic laryngitis and laryngotracheitis

    If it is necessary to identify the infectious agent, an additional code (B95-B97) is used.

    J37.0 Chronic laryngitis

    J37.1 Chronic laryngotracheitis. Chronic laryngitis with tracheitis (chronic). Chronic tracheitis with laryngitis

    J38 Diseases of the vocal folds and larynx, not elsewhere classified

    Excludes: congenital laryngeal stridor (Q31.4)

    post-procedural stenosis of the larynx under the vocal apparatus itself (J95.5)

    J38.0 Paralysis of vocal folds and larynx. Laryngoplegia. Paralysis of the vocal apparatus itself

    J38.1 Polyp of vocal fold and larynx

    Excludes: adenomatous polyps (D14.1)

    J38.2 Vocal fold nodules

    Chorditis (fibrous) (nodular) (tubercular). Singers' knots. Teachers' knots

    J38.3 Other diseases of the vocal folds

    Granuloma > vocal fold(s)

    • the vocal apparatus itself

    • under the vocal apparatus itself

    • above the vocal apparatus itself

    J38.5 Spasm of the larynx. Laryngism (stridor)

    J38.7 Other diseases of the larynx

    J39 Other upper respiratory tract diseases

    Excludes: acute respiratory infection NOS (J22)

    inflammation of the upper respiratory tract caused by chemicals, gases, fumes and vapors (J68.2)

    J39.0 Retropharyngeal and parapharyngeal abscess. Peripharyngeal abscess

    Excludes: peritonsillar abscess (J36)

    J39.1 Other pharyngeal abscess. Cellulitis of the pharynx. Nasopharyngeal abscess

    J39.2 Other diseases of the pharynx

    Cyst > pharynx or

    J39.3 Hypersensitivity reaction of the upper respiratory tract, localization not specified

    J39.8 Other specified upper respiratory tract diseases

    J39.9 Upper respiratory tract disease, unspecified

    CHRONIC DISEASES OF THE LOWER RESPIRATORY TRACT (J40-J47)

    J40 Bronchitis, not specified as acute or chronic

    Note• Bronchitis not specified as acute or chronic in persons under 15 years of age may be considered acute in nature and should be considered

    J41 Simple and mucopurulent chronic bronchitis

    Excluded: chronic bronchitis:

    J41.0 Simple chronic bronchitis

    J41.1 Mucopurulent chronic bronchitis

    J41.8 Mixed, simple and mucopurulent chronic bronchitis

    J42 Chronic bronchitis, unspecified

    J43 Emphysema

    • caused by chemicals, gases, fumes and vapors (J68.4)

    J43.1 Panlobular emphysema. Panacinar emphysema

    J43.2 Centrilobular emphysema

    J43.9 Emphysema (lung) (pulmonary):

    J44 Other chronic obstructive pulmonary disease

    • blockage of the respiratory tract

    asthmatic bronchitis NOS (J45.9)

    lung diseases caused by external agents (J60-J70)

    J44.0 Chronic obstructive pulmonary disease with acute respiratory infection of the lower respiratory tract

    J44.1 Chronic obstructive pulmonary disease with exacerbation, unspecified

    J44.8 Other specified chronic obstructive pulmonary disease

    • asthmatic (obstructive) NOS

    J44.9 Chronic obstructive pulmonary disease, unspecified

    • respiratory tract disease NOS

    J45 Asthma

    Excludes: acute severe asthma (J46)

    chronic asthmatic (obstructive) bronchitis (J44. -)

    chronic obstructive asthma (J44. -)

    lung diseases caused by external agents (J60-J70)

    J45.0 Asthma with a predominance of an allergic component

    Atopic asthma. Exogenous allergic asthma. Hay fever with asthma

    J45.1 Non-allergic asthma. Idiosyncratic asthma. Endogenous non-allergic asthma

    J45.8 Mixed asthma. Combination of conditions specified in J45.0 and J45.1

    J45.9 Asthma, unspecified. Asthmatic bronchitis NOS. Late-onset asthma

    J46 Asthmatic status [status аthmaticus]

    Acute severe asthma

    J47 Bronchiectasis

    Excludes: congenital bronchiectasis (Q33.4)

    tuberculous bronchiectasis (current disease) (A15-A16)

    LUNG DISEASES CAUSED BY EXTERNAL AGENTS (J60-J70)

    Excludes: asthma classified in J45.

    J60 Coal miner's pneumoconiosis

    Anthracosilicosis. Anthracosis. Coal miner's lung

    Excluded: with tuberculosis (J65)

    J61 Pneumoconiosis due to asbestos and other mineral substances

    Excluded: pleural plaque with asbestosis (J92.0) with tuberculosis (J65)

    J62 Pneumoconiosis caused by dust containing silica

    Included: silicate fibrosis (extensive) of the lung

    Excludes: pneumoconiosis with tuberculosis (J65)

    J62.0 Pneumoconiosis due to talc dust

    J62.8 Pneumoconiosis caused by other dusts containing silica. Silicosis NOS

    J63 Pneumoconiosis due to other inorganic dusts

    Excluded: with tuberculosis (J65)

    J63.1 Bauxite fibrosis (lung)

    J63.3 Graphite fibrosis (lung)

    J63.8 Pneumoconiosis due to other specified inorganic dusts

    J64 Pneumoconiosis, unspecified

    Excluded: with tuberculosis (J65)

    J65 Pneumoconiosis associated with tuberculosis

    Any condition listed under J60-J64 in combination with tuberculosis classified under A15-A16

    J66 Respiratory disease caused by specific organic dust

    hypersensitivity pneumonitis caused by organic dust (J67. -)

    reactive airway dysfunction syndrome (J68.3)

    J66.0 Byssinosis. Respiratory disease caused by cotton dust

    J66.1 Flax ripper disease

    J66.8 Respiratory disease caused by other specified organic dusts

    J67 Hypersensitivity pneumonitis caused by organic dust

    Includes: allergic alveolitis and pneumonitis caused by inhalation of organic dust and fungal particles,

    actinomycetes or particles of other origin

    Excludes: pneumonitis caused by inhalation of chemicals, gases, fumes and vapors (J68.0)

    J67.0 Farmer's lung. Reaper's lung. Mower's lung. Disease caused by moldy hay

    J67.1 Bagassosis (from sugarcane dust)

    Disease, or lung, of the parrot lover. Disease, or lung, of the pigeon fancier

    J67.3 Suberosis. Disease, or lung, of the balsa wood processor. Disease, or lung, working in the cork industry

    J67.4 Malt handler's lung. Alveolitis caused by Aspergillus clavatus

    J67.5 Mushroom Worker's Lung

    J67.6 Maple bark harvester's lung. Alveolitis caused by Cryptostroma corticale. Cryptostromosis

    J67.7 Lung in contact with air conditioning and humidifiers

    Allergic alveolitis caused by fungal mold, thermophilic actinomycetes and other microorganisms that multiply in ventilation [air conditioning] systems

    J67.8 Hypersensitivity pneumonitis due to other organic dusts

    Cheese washer's lung. Lightweight coffee grinder. Lung of a fish flour factory worker. Furrier's lung

    Lung of a Sequoia Worker

    J67.9 Hypersensitivity pneumonitis due to unspecified organic dust

    Allergic (exogenous) alveolitis NOS. Hypersensitivity pneumonitis NOS

    J68 Respiratory conditions caused by inhalation of chemicals, gases, fumes and vapors

    To identify the cause, use an additional external cause code (class XX).

    J68.0 Bronchitis and pneumonitis caused by chemicals, gases, fumes and vapors

    Chemical bronchitis (acute)

    J68.1 Acute pulmonary edema caused by chemicals, gases, fumes and vapors

    Chemical pulmonary edema (acute)

    J68.2 Inflammation of the upper respiratory tract caused by chemicals, gases, fumes and vapors, not elsewhere classified

    J68.3 Other acute and subacute respiratory conditions caused by chemicals, gases, fumes and vapors

    Reactive airway dysfunction syndrome

    J68.4 Chemical respiratory conditions caused by chemicals, gases, fumes and vapors. Emphysema (diffuse) (chronic) > caused by inhalation Obliterating bronchitis (chronic- > chemical) (subacute) > substances, gases. Pulmonary fibrosis (chronic) > fumes and fumes

    J68.8 Other respiratory conditions caused by chemicals, gases, fumes and vapors

    J68.9 Unspecified respiratory conditions caused by chemicals, gases, fumes and vapors

    J69 Pneumonitis due to solids and liquids

    To identify the cause, use an additional external cause code (class XX).

    Excludes: neonatal aspiration syndrome (P24.-)

    J69.0 Pneumonitis caused by food and vomit

    Aspiration pneumonia (caused by):

    Excludes: Mendelssohn syndrome (J95.4)

    J69.1 Pneumonitis caused by inhalation of oils and essences. Fat pneumonia

    J69.8 Pneumonitis due to other solids and liquids. Pneumonitis caused by aspiration of blood

    J70 Respiratory conditions caused by other external agents

    To identify the cause, use an additional external cause code (class XX).

    J70.0 Acute pulmonary manifestations caused by radiation. Radiation pneumonitis

    J70.1 Chronic and other pulmonary manifestations caused by radiation. Lung fibrosis due to radiation

    J70.2 Drug-induced acute interstitial pulmonary disorders

    J70.3 Drug-induced chronic interstitial pulmonary disorders

    J70.4 Drug-induced pulmonary interstitial disorders, unspecified

    J70.8 Respiratory conditions caused by other specified external agents

    J70.9 Respiratory conditions caused by unspecified external agents

    OTHER RESPIRATORY DISEASES PRIMARILY AFFECTING

    INTERSTITIAL TISSUE (J80-J84)

    J80 Adult respiratory distress syndrome

    Hyaline membrane disease in an adult

    J81 Pulmonary edema

    Acute pulmonary edema. Pulmonary congestion (passive)

    Excludes: hypostatic pneumonia (J18.2)

    • mentioning heart disease NOS or heart failure (I50.1)

    J82 Pulmonary eosinophilia, not elsewhere classified

    Eosinophilic asthma. Loeffler's pneumonia. Tropical (pulmonary) eosinophilia NOS

    J84 Other interstitial pulmonary diseases

    Excludes: interstitial lung diseases caused by drugs (J70.2-J70.4)

    interstitial emphysema (J98.2)

    lung diseases caused by external agents (J60-J70)

    lymphoid interstitial pneumonitis caused by human immunodeficiency virus [HIV] (B22.1)

    J84.0 Alveolar and parieto-alveolar disorders. Alveolar proteinosis. Pulmonary alveolar microlithiasis

    J84.1 Other interstitial lung diseases with mention of fibrosis

    Diffuse pulmonary fibrosis. Fibrosing alveolitis (cryptogenic). Hamman-Rich syndrome

    Idiopathic pulmonary fibrosis

    Excluded: pulmonary fibrosis (chronic):

    • caused by inhalation of chemicals,

    J84.8 Other specified interstitial pulmonary diseases

    J84.9 Interstitial pulmonary disease, unspecified. Interstitial pneumonia NOS

    PURULAR AND NECROTIZING CONDITIONS OF THE LOWER RESPIRATORY TRACT (J85-J86)

    J85 Abscess of the lung and mediastinum

    J85.0 Gangrene and necrosis of the lung

    J85.1 Lung abscess with pneumonia

    Excluded: with pneumonia caused by a specified pathogen (J10-J16)

    J85.2 Lung abscess without pneumonia. Lung abscess NOS

    J86 Pyothorax

    If necessary, identify the pathogen using an additional code (B95-B97).

    J86.0 Pyothorax with fistula

    J86.9 Pyothorax without fistula

    OTHER DISEASES OF THE PLEURA (J90-J94)

    J90 ​​Pleural effusion, not elsewhere classified

    Pleurisy with effusion

    Excludes: chyle (pleural) effusion (J94.0)

    J91* Pleural effusion in conditions classified elsewhere

    J92 Pleural plaque

    Included: pleural thickening

    J92.0 Pleural plaque with mention of asbestosis

    J92.9 Pleural plaque without mention of asbestosis. Pleural plaque NOS

    J93 Pneumothorax

    J93.0 Spontaneous tension pneumothorax

    J93.1 Other spontaneous pneumothorax

    J93.9 Pneumothorax, unspecified

    J94 Other pleural lesions

    tuberculous lesion of the pleura (current case) (A15-A16)

    J94.0 Chyle effusion. Filamentous effusion

    J94.2 Hemothorax. Hemopneumothorax

    J94.8 Other specified pleural conditions. Hydrothorax

    J94.9 Pleural lesion, unspecified

    OTHER RESPIRATORY DISEASES (J95-J99)

    J95 Respiratory disturbances following medical procedures, not elsewhere classified

    Excludes: emphysema (subcutaneous) post-procedural (T81.8)

    pulmonary manifestations caused by radiation (J70.0-J70.1)

    J95.0 Tracheostomy dysfunction

    Bleeding from tracheostomy. Blockage of the tracheostomy airway. Tracheostomy sepsis

    Tracheoesophageal fistula due to tracheostomy

    J95.1 Acute pulmonary failure after thoracic surgery

    J95.2 Acute pulmonary failure after nonthoracic surgery

    J95.3 Chronic pulmonary failure due to surgery

    J95.5 Stenosis under the vocal apparatus proper after medical procedures

    J95.8 Other respiratory disorders following medical procedures

    J95.9 Respiratory disturbance following medical procedures, unspecified

    J96 Respiratory failure, not elsewhere classified

    Excludes: cardiorespiratory failure (R09.2)

    post-procedural respiratory failure (J95. -)

    • respiratory distress syndrome:

    J96.0 Acute respiratory failure

    J96.1 Chronic respiratory failure

    J96.9 Respiratory failure, unspecified

    J98 Other respiratory disorders

    J98.0 Diseases of the bronchial tubes, not elsewhere classified

    J98.1 Pulmonary collapse. Atelectasis. Lung collapse

    Excluded: atelectasis (y):

    J98.2 Interstitial emphysema. Mediastinal emphysema

    J98.3 Compensatory emphysema

    J98.4 Other lung lesions

    Lung calcification. Cystic lung disease (acquired). Lung disease NOS. Pulmolithiasis

    J98.5 Diseases of the mediastinum, not elsewhere classified

    Excludes: mediastinal abscess (J85.3)

    J98.6 Diseases of the diaphragm. Diaphragm. Paralysis of the diaphragm. Relaxation of the diaphragm

    Excludes: congenital defect of the diaphragm NEC (Q79.1)

    J98.8 Other specified respiratory disorders

    J98.9 Respiratory disorder, unspecified. Respiratory disease (chronic) NOS

    J99* Respiratory disorders in diseases classified elsewhere

    J99.1* Respiratory disorders in other diffuse connective tissue disorders

    Respiratory disorders with:

    J99.8* Respiratory disorders in other diseases classified elsewhere

    Respiratory disorders with:

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