ICD Code J45.41

ICD code J45.41 is moderate persistent asthma with an acute exacerbation, meaning the patient has a moderate, ongoing form of asthma that is currently experiencing a sudden worsening of symptoms.

1. Patient has a documented diagnosis of moderate persistent asthma.

2. Symptoms occur daily and may include nighttime awakenings more than once per week but not nightly.

3. Patient requires daily use of inhaled short-acting beta-agonist for symptom control.

4. There is some limitation in normal activity due to asthma symptoms.

5. Pulmonary function tests (FEV1 or peak expiratory flow) are between 60% and 80% of predicted values.

6. Patient is currently experiencing an acute exacerbation, characterized by a worsening of symptoms such as increased shortness of breath, wheezing, chest tightness, or cough.

7. Exacerbation requires a change in treatment, such as increased use of rescue inhaler, initiation or increase of systemic corticosteroids, or additional medical intervention.

Relevant CPT codes that may be used to treat ICD code J45.41 include:

- 94640 (Pressurized or nonpressurized inhalation treatment for acute airway obstruction)

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

- 94060 (Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration)

- 99201–99215 (Office or other outpatient evaluation and management services, depending on new or established patient and complexity)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 94644 (Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour)

- 94645 (Each additional hour, continuous inhalation treatment)

These CPT codes are commonly associated with the management and treatment of J45.41.

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