Getting Confused on the new guideline for this. If pt has COPD and Emphysema do we code just the Emphysema? What if the pt has COPD with EX?
Per coding tips in the Decision Health coding book (pg1069), if just COPD and Emphysema, code to j43.
If Emphysema and chronic obstructive bronchitis or emphysematous bronchitis, code to j44.
So COPD with exacerbation and emphysema you would just code the J43
you could use the copd exacerbation in your oasis, but the exacerbation is likely resolved if they are being discharged home. So- I would just use the J43 code.