ICD Code J41.8

ICD code J41.8 is mixed simple and mucopurulent chronic bronchitis, which refers to a long-term inflammation of the bronchi in the lungs characterized by both clear (simple) and pus-containing (mucopurulent) sputum.

1. Presence of chronic cough lasting for at least three consecutive months in two successive years

2. Expectoration of sputum that is both simple (clear or white) and mucopurulent (containing pus or yellow/green in color)

3. Absence of airflow obstruction consistent with chronic obstructive pulmonary disease (COPD)

4. Exclusion of other causes of chronic cough and sputum production, such as bronchiectasis, tuberculosis, or malignancy

5. Recurrent episodes of bronchial inflammation without evidence of acute infection

Relevant CPT codes that may be used to treat ICD code J41.8 include:

- 94010 (Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation)

- 94640 (Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes)

- 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device)

- 94668 (Respiratory therapy, monitoring, and management)

- 99202–99215 (Office or other outpatient evaluation and management services, new or established patient)

- 99406–99407 (Smoking and tobacco use cessation counseling visit, intermediate or intensive)

- 94660 (Continuous positive airway pressure ventilation, initiation and management)

CPT code selection should be based on the specific services provided and clinical documentation.

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