Chronic bronchitis remission code according to mcb 10. Coding of chronic bronchitis in mcb

Acute obstructive bronchitis is an acute inflammatory disease respiratory tractthat affects the bronchi of medium and small caliber. It proceeds with a syndrome of bronchial obstruction associated with bronchospasm, edema of the bronchial mucosa and mucus hypersecretion.

Acute obstructive bronchitis (ICD code 10 acute bronchitis - J20) is more often diagnosed in young children.

Causes and risk factors

Infection with the following microorganisms leads to the development of acute obstructive bronchitis in adults and children:

• rhinoviruses;
• parainfluenza virus type 3;
• influenza viruses;
• respiratory syncytial viruses;
• viral-bacterial associations.

When conducting a bacteriological study in flush waters from the bronchi, chlamydia, mycoplasma, and herpes virus are often isolated.

The forecast is favorable. With adequate treatment, the disease ends with recovery within 7–21 days.

If you look at the medical histories of people suffering from obstructive bronchitis, you will notice that many of them have a history of weakened immunity, frequent respiratory diseases, and an increased allergic background.

The combination of adverse environmental factors and hereditary predisposition provokes the development inflammatory processaffecting the small and medium bronchi, as well as the surrounding tissues. This leads to disruption of the movement of cilia of ciliated epithelium cells. In the future, there is a gradual replacement of ciliated cells with goblet cells. Morphological changes in the bronchial mucosa are also accompanied by changes in the composition of bronchial mucus, which leads to the development of mucostasis and obstruction (blockade) of small-caliber bronchi. This, in turn, provokes violations of the ventilation-perfusion ratio.

In bronchial mucus, the content of lysozyme, interferon, lactoferon and other factors of nonspecific local immunity decreases, which normally provide antibacterial and antiviral protection. As a result, pathogenic microorganisms (bacteria, fungi, viruses) begin to actively multiply in the viscous and thick secretion, which supports the activity of inflammation.

In the pathological mechanism of development of bronchial obstruction, activation of cholinergic receptors of the autonomic region is of no small importance. nervous system, which leads to the occurrence of a bronchospastic reaction.

All the processes described above lead to a spasm of the smooth muscles of the bronchi and swelling of their mucous membrane, hypersecretion of mucus.

With high allergization of the body, bronchitis can take on a relapsing or chronic course and, over time, transform into asthmatic, and then into bronchial asthma.

Symptoms

The disease begins acutely and is characterized by the development of bronchial obstruction and infectious toxicosis, the signs of which are:

• general weakness;
• subfebrile temperature (i.e., not exceeding 38 ° C);
• dyspeptic disorders.

In the clinical picture of acute bronchitis with signs of obstruction, the leading role belongs to respiratory disorders. Patients are worried about obsessive cough, which intensifies at night. It can be dry or wet, with mucous expectoration. In adults with hypertension, blood streaks may be present in the sputum.

Shortness of breath occurs and increases. During inhalation, the wings of the nose are inflated, and the auxiliary muscles (muscles of the abdominal, shoulder girdle, neck) take part in the act of breathing.

During auscultation of the lungs, attention is paid to a wheezing elongated exhalation and dry rales that are well audible (often even at a distance).

Diagnostics

Diagnosis of acute obstructive bronchitis is based on data clinical picture and physical examination of the patient, the results of instrumental and laboratory methods research:

1. Auscultation of the lungs. Patients exhibit hard breathing, wheezing dry wheezing. After coughing, the amount and tone of wheezing changes.
2. Radiography of the lungs. On the roentgenogram, an increase in the roots of the lungs and bronchial pattern, emphysema of the pulmonary fields are noted.
3. Medical and diagnostic bronchoscopy. During the procedure, the doctor examines the mucous membrane of the bronchi, takes sputum for laboratory research and may perform bronchoalveolar lavage if necessary.
4. Bronchography. This diagnostic procedure is indicated when bronchiectasis is suspected.
5. Function study external respiration (FVD). The most important in diagnostics are pneumotachometry, peak flowmetry, spirometry. Based on the results obtained, the reversibility and degree of bronchial obstruction, the degree of impaired pulmonary ventilation are determined.
6. Laboratory research. The patient undergoes general urine and blood tests, a biochemical blood test (fibrinogen, total protein and protein fractions, glucose, creatinine, aminotransferase, bilirubin are examined). To assess the degree of respiratory failure, the determination of the acid-base state of the blood is shown.

If you look at the medical histories of people suffering from obstructive bronchitis, you will notice that many of them have a history of weakened immunity, frequent respiratory diseases, and an increased allergic background.

Acute obstructive bronchitis requires differential diagnosis with a number of other respiratory diseases:

• thromboembolism pulmonary artery (TELA);

Treatment of acute obstructive bronchitis

In pediatrics, the diagnosis and treatment of the disease are carried out on the basis of the clinical guidelines "Acute obstructive bronchitis in children." A sick child is prescribed a semi-bed regime. The room should be regularly damp cleaned and ventilated. Food should be easily digestible and served warm. Be sure to drink plenty of warm drink, which helps to thin the phlegm and better cough up it.

Drug therapy for obstructive inflammation of the bronchi is carried out only as directed by a doctor and may include:

The disease begins acutely and is characterized by the development of bronchial obstruction and infectious toxicosis.

Prevention is based on measures aimed at increasing the general defenses of the body ( proper nutrition, playing sports, walking in the fresh air, giving up bad habits).

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Medical professionals are familiar with the ICD handbook, that is, the International Classifier of Diseases. The document contains complete information about all diseases, their forms, diagnostic features, specific recommendations for treatment and prevention are given.

In 1999, the 10th revision of the data of the directory was carried out, and the next is planned to be done in 2015.

ICD-10 consists of 3 volumes, all information is divided into 21 classes and 1-, 2-, 3- and 4-digit headings. A certain place in this classification is occupied, manifested in various forms and accompanied by complications.

Chronic bronchitis, according to ICD information, differs from acute bronchitis in that the inflammatory process in the bronchial tree is progressive and covers significant parts of the organ. Usually, such irreversible lesions are observed after prolonged exposure to adverse factors (smoking, poor ecology, 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 that may appear intermittently or be persistent. In accordance with the ICD criteria, the diagnosis of chronic bronchitis is made when an excessive productive (wet) cough has lasted for at least 3 months per year over the past 2 years.

Classification of the chronic form

In the CIS countries, there are two methods of classification, which are based on the absence or presence (the gap between the walls of the bronchi narrows, which leads to a violation 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:

• non-obstructive;
• obstructive;
• purulent;
• purulent obstructive.

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

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

• aggravation;
• remission (weakening of the symptoms of the disease for a while).

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

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

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

• 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;
• the J41 code 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 emphysema of the lungs is manifested by shortness of breath, not accompanied by a cough. This is one of the common complications of COPD in the ICD-10 listed under the number J43;
• j44 code assigned to other COPD. Chronic obstructive bronchitis has a pronounced symptom - wheezing, and the patient's condition sharply worsens;
• Emphysema has a J45 code;
• J46 assigns status asthmatic to the patient;
• J47 - bronchiectasis, which is characterized by an irreversible change in the bronchi with a suppurative process in them.

The ICD handbook is a guide for the doctor in prescribing adequate therapy. The main purpose of the treatment measures - preventing further deterioration of the patient's condition, lengthening periods of remission and reducing the rate of progression of the disease. Obstructive and non-obstructive bronchitis need different therapybut great attention is paid to.

When choosing drugs, the attending physician should 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, carry out prevention infectious diseases and temper your body. Such conclusions can be made by analyzing the statistical data that are given in the ICD-10 handbook.

Regardless of the conditions of occurrence, the code of chronic bronchitis according to ICD 10 is always located in the class of diseases of the respiratory system and the heading of chronic pathologies of the lower respiratory tract.

Items in this heading also have divisions, in most cases clarifying the morphological form of respiratory pathology. The etiological factor in this case is only relevant in clinical classifications.

Encoding options:

• J40 is an inflammatory process in the bronchi, which, for a number of reasons, cannot be considered acute, but it is also difficult to classify it as chronic (allergic obstructive inflammation, pathologies caused by chemicals and asthmatic forms diseases);
• J41 - under this code is simple bronchitis, as well as a mucous and purulent disease (the category is divided into both types of pathological process and includes a mixed version of the disease);
• J42 - a form of pathology of an unspecified nature;
• J44 - other types of obstructive respiratory pathology with a protracted course.

Separately in ICD 10 chronic bronchitis has a code J45.9 in case of asthmatic damage. Asthma is diagnosed by exclusion in the presence of several attacks of obstruction during the year, which are tied to the same factor and are stopped by bronchial dilating drugs.

Features of the disease

Unlike usual acute or obstructive bronchitis, this type of inflammatory process is not always tied to an infectious agent. Risk factors for the disease are bad habits, work in hazardous work, living in unsatisfactory social conditions.

Distinguish between mild, moderate and severe forms of pathology, which is not reflected in the international classification of diseases. The severity of the process is established depending on the violation of breathing and morphological changes in the bronchi and alveoli.

Chronic bronchitis in ICD 10 is established without an exact indication of the etiological factor, since it influences the prescription of treatment to a lesser extent.

Medicines for all forms are used the same, but in the case of a specific cause of inflammation, its effect on the body should be limited as much as possible. For example, quit smoking or change jobs associated with the ingress of small particles of dust, sand and other substances into the bronchi.

The immediate cause of the development of a smoker's bronchitis is the harmful effect of components of tobacco smoke on the mucous membrane of the bronchi during regular long-term inhalation of cigarette combustion products. Research by pulmonologists has shown that this applies equally to active smokers and those around them ("passive" smokers).
The possibility of developing a smoker's bronchitis is also influenced by secondary factors: the total experience of smoking and the number of cigarettes smoked per day, the patient's age, decreased immunity, frequent SARS, unfavorable ecology, occupational hazards, excessive physical exertion, insufficient rest and malnutrition.
When smoking cigarettes, a large amount of rather aggressive solid-phase and gaseous compounds is released (nicotine, carbon dioxide and carbon monoxide, ammonia, formaldehyde, hydrocyanic acid, methane and other hydrocarbons, volatile aldehydes and ketones, nitric oxide, hydrogen cyanide, volatile nitrates, benzopyrene, various resins etc). The components of the gaseous fraction have a pronounced irritating effect on the walls of the bronchi, and tar and solid particles of tobacco smoke settle on their surface and inside the pulmonary alveoli. Tobacco smoke itself, the temperature of which can reach 40-60˚C, causes a slight burn of the mucous membrane of the respiratory tract.
As a result, chronic catarrhal inflammation occurs, morphological and functional changes in the bronchial epithelium occur - a decrease in the number and a significant decrease in the motor activity of cilia of the ciliated epithelium, hyperplasia of the tracheobronchial glands with increased production, increased viscosity and adhesion of mucus (hypercrinia and discrinia). Weakens drainage function bronchi, mucociliary transport is disrupted, mucostasis (mucus stagnation) occurs. Permanent toxic damage to the respiratory tract contributes to the suppression of the mechanisms of local reactivity, insufficient activity of alveolar macrophages, the layering of a secondary viral or bacterial (more often pneumococcal and hemophilic) infection, which supports the further progression of chronic inflammation.
The course of a smoker's bronchitis is characterized by a gradual development and growth of obstructive syndrome with impaired bronchial patency. First, obstruction appears with an exacerbation of the inflammatory process, then it becomes permanent due to fibrosis and obliteration of the bronchi. The narrowing of the bronchi leads to blockage of the small airways, (especially during exhalation) and hypoventilation of the lungs. With bronchitis of a smoker, allergic changes can occur, as well as a progressive loss of elasticity and stretching of the alveolar walls.

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Ministry of Health of Russia dated 05/27/97. No. 170

A new revision (ICD-11) is planned by WHO in 2017 2018.

As amended and supplemented by WHO

Processing and translation of changes © mkb-10.com

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

Obstructive bronchitis (OB) is a serious upper respiratory tract disorder. It begins with inflammation of the bronchial membrane, then a spasm joins the inflammation, in 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 in this type of bronchitis is acute obstruction (most often seen in children) - a slow narrowing of the bronchial lumen. Abnormal wheezing occurs.

ICD-10 disease code

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 another chronic obstructive pulmonary disease.

Symptoms and risk factors

Obstructive bronchitis can be divided into two types:

• Primary, it has nothing to do with other diseases;
• Secondary is associated with concomitant diseases. These include kidney disease ( renal failure) and disease of cardio-vascular system; other respiratory diseases;

Risk factors for primary obstructive bronchitis:

• Smoking (also passive);
• Contaminated air;
• Occupation (working in a dusty, poorly ventilated area, working in a mine or quarry);
• Age (most often children and the elderly are ill);
• Genetic predisposition (if such a disease has occurred in the family history, it occurs mainly in women).

The main ones are the following: hemophilic bacillus, it occurs in half of cases, pneumococcus, it accounts for about 25%, as well as chlamydia, mycoplasma, Staphylococcus aureus and Pseudomonas aeruginosa, they account for 10% percent of cases.

Acute and chronic symptoms

Chronic bronchitis is classified by the nature of the sputum:

Catarrhal bronchitis occurs in the most mild form and is characterized by a diffuse inflammatory process, in which the tissues of the bronchi and lungs are not affected. Light sputum contains only mucus.

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

Purulent obstructive bronchitis - when a 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, there is a dry cough;
• On about 3-4 days, the cough becomes wet, and, depending on the degree of impairment of mucus permeability in the bronchial mucosa, it is divided into obstructive and non-obstructive;
• Headaches;
• The temperature rise is no higher than 38 degrees;
• Dyspnea;
• Respiratory dysfunction.

Chronic symptoms:

• 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 are ill.

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

In connection with this position of the body, when a child begins to have ARVI accompanied by a runny nose, the mucus cannot properly go out and sinks into the bronchi.

A child at this age cannot cough up phlegm, which complicates the process of treatment and recovery. In most cases, acute bronchitis is caused by a virus.

Obstructive bronchitis occurs in children from about 2 to 3 years old, this is due to the physiology of the child. Children at this age have a narrow lumen of the bronchi. Symptoms of the disease can develop on the first day of ARVI (earlier than in acute bronchitis).

Acute bronchitis symptoms:

• 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 sibilant;
• The child often changes body position;
• The chest is enlarged;
• On auscultation - dry wheezing, as well as a large number of medium and large bubbling rales;
• The general condition is satisfactory;

Chronic obstructive bronchitis affects adults and only rarely children. This disease lasts for several years and over the years it only gets worse, the period of remission becomes shorter, and the course of the exacerbation becomes more and more difficult. Some symptoms, such as shortness of breath, do not go away and remain with the patient at all times.

Diagnosis of the disease

Physical examination and analysis are usually sufficient to confirm the diagnosis. As mentioned above, a patient with a disease such as obstructive bronchitis will have an enlarged chest, when viewed 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. For completeness of the data, it will be necessary to donate blood to see the indicators of ESR and leukocytes, with a viral infection these indicators will be increased.

Treatment

Treatment of obstructive bronchitis usually takes place on an outpatient basis, with the only exception of 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 in this disease. For sputum discharge, mucolytic and bronchodilator drugs are prescribed.

To avoid complications and the transition from an acute to a chronic state, 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 treatment for obstructive bronchitis, since it allows you to restore airway patency. There are drugs with an effect of 12 to 24 hours, which make life much easier for patients.

But the truth is, 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 the 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 bronchial glands.

Mucolytic therapy is aimed at diluting sputum 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 vasicin derivative, synthetically created, with a mucolytic effect. Ambroxol is a new generation drug that is approved for nursing mothers and pregnant women.

Another group of drugs that are prescribed to patients with obstructive bronchitis are corticosteroids. They are prescribed only when smoking cessation and bronchodilator therapy do not help.

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

Bronchodilator therapy remains the mainstream, corticosteroids are an emergency aid for this disease. The most common drug in this group is Prednisolone.

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

Here are some tips for treatment:

• To stop the beginning cough, you need to drink warm milk with propolis dissolved in it (15 drops).
• Black turnip and honey perfectly help in the discharge of phlegm. Take a turnip, wash it well, cut out the middle and put a spoonful of honey there.

When the turnip gives juice, which is mixed 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, the development of resistance to this drug, a decrease in immunity and allergic reactions... Therefore, it is worth taking antibiotics only as prescribed by the doctor and the prescribed dosage and dosage regimen.

Urgent care

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

To alleviate this syndrome, it is better to inhale with a nebulizer and Berodual's solution, this will help to quickly restore respiratory function. If there is no nebulizer at hand or the ability to use it, then you can use this drug in the form of an aerosol.

Prevention

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

For people with weakened immunity, it is worth taking immunomodulators so as not to catch an infection, which in turn can lead to a relapse of the disease.

ICD code: J41

Simple and mucopurulent chronic bronchitis

ICD code online / ICD code J41 / International classification of diseases / Diseases of the respiratory system / Chronic diseases of the lower respiratory tract / Simple and mucopurulent chronic bronchitis

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ICD 10: acute and chronic bronchitis

Modern medicine is a constant process of searching for new methods of treatment, diagnosis and prevention of diseases, and it is impossible without systematization of previously obtained knowledge. The International Classification of Diseases is considered one of the methods of accounting for all accumulated statistical data that are periodically revised, refined and supplemented.

This article will tell you more about the place in the ICD 10 bronchitis takes depending on the etiology, form and course.

Place of bronchitis in the ICD classification

Bronchitis is an inflammatory disease, with the development of which the mucous membrane and walls of the bronchial tree are damaged. This pathology is currently diagnosed in every second inhabitant of the planet. Bronchitis affects people from different age groups, but most often children, the elderly, and patients with a weakening of the natural immune reactivity of the respiratory tract.

According to the classification, I distinguish two main types of bronchitis: acute and chronic. Acute inflammation of the bronchi (J20 - J22) is characterized by the onset of symptoms of the disease, more often against the background of acute respiratory viral infections or acute respiratory infections, and complete recovery after 3-4 weeks.

In chronic bronchitis (J40-J47), inflammatory changes are progressive, cover significant areas of the bronchial tree and there are periodic exacerbations of inflammation with aggravation of the patient's condition.

Acute bronchitis

Acute bronchitis code for mkb 10 depends on the type of pathogen and includes 10 clarifying diagnoses. With the development of inflammation provoked by various bacterial and viral agents with obligatory laboratory clarification of the pathogen, the following codes of acute bronchitis caused by:

If the inflammatory process is caused by another specified pathogen that is not listed in the classification above, acute bronchitis has the ICB code J20.8. At the same time, situations often occur when it is not possible to clarify the causative agent of the inflammatory process in the bronchi.

In this case, bronchitis is diagnosed based on the collection of complaints, anamnesis, the presence of clinical symptoms and auscultatory picture (hard breathing, rales of various sizes), the results of laboratory tests and, if necessary, an X-ray examination.

Acute bronchitis according to μb 10 with an unrefined pathogen has a code J20.9.

Chronic bronchial inflammation

Chronic bronchitis is diagnosed if there is a progressive lesion of the bronchial tree, and the characteristic manifestations of the disease are constantly present for at least three months in a row for one year and these signs have been observed over the past two years.

In most cases, irreversible changes in the lower parts of the respiratory tract are observed after prolonged exposure to various irritating factors:

• smoking, including passive smoking:
• the constant presence of unfavorable environmental factors;
• long-term sluggish infections, somatic diseases with severe intoxication syndrome;
• professional harm;
• persistent decrease in immunity.

In chronic inflammation, the secretory apparatus of the bronchi is rearranged - this causes an increase in the volume and viscosity of sputum, as well as a decrease in the natural defense of the bronchial tree and its cleansing functions.

It is important to remember that in pediatric pulmonology up to the age of three there is no concept of "chronic bronchitis" - this is due to the absence of irreversible changes in the tissues of the bronchi. But at the same time, this pathology is possible in children of the older age group with a progressive course of the inflammatory process and the appearance of signs of hypertrophy, atrophy or hemorrhagic changes in the bronchi, which are clarified during bronchoscopy and tissue biopsy.

In pediatrics, recurrent bronchitis is more common - repeated episodes of acute inflammation of the bronchi, which are recorded at least 3-4 times a year, and their duration ranges from 2 weeks to a month. There is no ICD code for recurrent bronchitis, and recurrent episodes of the disease are classified as acute bronchitis (J20) or J22 - acute viral lower respiratory tract infection (unspecified).

These children are allocated to a separate group of dispensary observation - CHDDB (often and long-term ill). The pediatrician constantly monitors the child with recurrent bronchitis, prescribes treatment during exacerbations and remission.

Chronic bronchitis (mkb 10)

In adult patients, the following forms of chronic bronchitis are distinguished:

Non-obstructive chronic bronchitis

This form is characterized by catarrhal inflammation of the bronchial mucosa and their walls, without complications in the form of bronchial obstruction and bronchiectasis.

• J40 - unspecified catarrhal bronchitis with tracheitis (both acute and chronic);
• J42 - Chronic unspecified bronchitis.

Purulent or muco-purulent bronchitis

With this form of the disease, large sections of the bronchi are affected, more often it infectious forms inflammation caused by bacterial pathogens (Afanasyev-Pfeiffer bacillus, streptococci, pneumococci) with periods of exacerbation of infection and remissions. Chronic bronchitis, tracheitis or tracheobronchitis with the discharge of purulent sputum has the ICB code 10 - J41.

Obstructive (asthmatic) bronchitis

With this form of the disease, against a background of chronic inflammation, there is an increased reactivity of the bronchi, which manifests itself in the form of their spasm and mucosal edema. Asthmatic bronchitis code 10 (J44).

Purulent obstructive bronchitis

This is a mixed form of the disease in which there are clinical signs obstruction (spasm of the bronchi) and the discharge of purulent sputum. The code of this pathology is chosen by the doctor depending on the prevailing component - purulent inflammation or spasm of the bronchi (J41 or J44)

The course and features of therapy for bronchitis

Often, chronic forms turn into more severe diseases (asthma, pulmonary emphysema, cor pulmonale).

Both non-obstructive and obstructive forms of chronic bronchitis have two phases:

• aggravation;
• remission is a period of weakening or absence of symptoms of the disease.

Patients with any of the forms of chronic bronchitis react sharply to sudden weather fluctuations, they often suffer from acute respiratory infections and ARVI.

Therefore, in order to significantly reduce the risk of disease progression, patients must strictly follow the doctor's recommendations:

• instructions for taking medications, their doses, courses of admission;
• the use of herbal medicine, physiotherapy procedures, massage, exercise therapy, breathing exercises;
• quit smoking and other bad habits;
• lead an active healthy image life.

The video in this article will tell you about the preventive measures for exacerbations of chronic bronchitis during remission.

The ICD handbook is not only the correct definition of pathology, its etiology and pathogenesis, but also a guide for the doctor in prescribing the correct therapy for the disease. In the first place are the following aspects - preventing the deterioration of the patient's condition, lengthening the periods of remission in chronic diseases and reducing the rate of progression of pathological changes in organs and systems.

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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 so that people live long. There are a lot of pathologies in the world, therefore, to make it easier for doctors, a special systematics 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, the pathology affects the elderly and small children, because they have a weakened immune system and susceptibility to various bacterial diseases.

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

• anti-inflammatory drugs;
• antibacterial medicines;
• glucocorticosteroids.

When the disease is still on initial stage, then you can start using in parallel with drugs folk recipes... This can be a reception of decoctions, herbs, tinctures.

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

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

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

• Infectious. It occurs due to the penetration of an infectious source into the human body.
• The chemical type occurs when vapors of formaldehyde, 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 appeared as a complication after a disease of the respiratory system, then such a process is secondary and is treated much more difficult. The nature of inflammation in bronchitis can also be divided into purulent and catarrhal.

The disease can proceed in different ways, therefore, obstructive and non-obstructive types are distinguished. In the second case, the disease is not accompanied by problems with ventilation of the lungs, 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 accurate diagnoses, differing in the type of causative agent of the disease.

Chronic obstructive bronchitis code according to ICD 10 –j 44.0, while excluding the appearance of the disease after the flu.

Obstructive bronchitis in children, as described by ICD 10, occurs rapidly and is very similar in symptoms to the common 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 alcoholic beverages;
• exposure to toxic and irritating components;
• allergic reaction.

When antigens, viruses and microorganisms enter a person, they are perceived by the body as foreign substances that must be disposed of. Therefore, the body begins to actively produce antibodies designed to identify and destroy foreign bodiesthat got there. Lymphocytes and macrophages actively bind to harmful particles, absorb them, digest them and then produce memory cells to the immune system remembered them. The whole process is accompanied by inflammation, sometimes even with a rise in temperature.

In order for the immune cells to find the focus of the disease faster, the blood circulation begins to increase, including to the bronchial mucosa. A large amount of biologically active substances begins to be synthesized. From the flow of blood, the mucous membrane begins to expand and acquires a red tint. There is a release of mucous secretions from the tissues that line the inner cavity of the bronchi.

This provokes the appearance of a dry cough at first, which eventually begins to turn into a wet one. This is because the amount of mucus secreted increases. If pathogenic bacteria enter the trachea, then the disease turns into tracheobronchitis, which has the ICD code j20.

Symptoms

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

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

When there is poor patency of the bronchi, the following symptoms occur:

• dyspnea;
• breathing problems;
• the appearance of a blue tint on the skin (cyanosis);
• incessant dry cough with periodic exhalation;
• fine bubbling rales;
• discharge of phlegm or mucus from the nose with a lot 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 more from it. On the last stage such signs appear:

• a strong paroxysmal cough that occurs on inspiration;
• pain sensations arising behind the sternum, in the place of the diaphragm;
• breathing is hard 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 should listen to the lungs, feel the throat.
• X-ray. On an X-ray, the disease appears as dark spots.
• Biochemical and general analysis blood.
• Analysis of urine.
• External respiration test.
• 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 tracheobronchitis, then a number of additional studies are supplemented:

• Ultrasound examination of the respiratory system.
• Spirometry.

Treatment

Treatment of obstructive bronchitis should be comprehensive and based on the nature of the disease. The conservative path of therapy includes:

• Reception drugs... Based on the test results and the type of bacterial pathogen, antibacterial drugs are prescribed.
• Antiviral medicines (if viral particles are the culprits of the disease); antiallergic drugs (if it is allergic); anti-inflammatory, to relieve the focus of inflammation; expectorants for better sputum discharge; mucolytic drugs.
• Traditional methods.
• Physiotherapy procedures.

Inpatient treatment is indicated if the patient is at risk of developing ancillary disease or complications.

As an auxiliary aid, folk recipes will come in handy that will help you recover faster. For treatment, you can use:

• Compresses that improve blood circulation, which are applied to the bronchial area.
• Rubbing with warming and sputum-improving oils and gels. Badger fat, fir oil, turpentine ointment can act as such agents.
• Taking herbal preparations, which can have a wide variety of effects on the body.
• Massage treatments are helpful.
• Inhalation with a nebulizer.
• Aeroionotherapy.
• Electrophoresis.
• Gymnastics.

Prevention of obstructive bronchitis ICD 10

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

If you ignore the treatment or do not follow it properly, then the acute phase flows into the chronic one. 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:

Read better what Honored Doctor of Russia Viktoria Dvornichenko says about this. For the last 2-3 years I have suffered from very feeling unwell - endless colds and coughs, problems with the throat and bronchi, headaches, problems with being overweight, nausea, constipation, loss of energy, fatigue and terrible depression. Numerous tests, visits to specialists, diets and medications, alas, did not solve my problems. The doctors just shrugged. BUT thanks to a simple recipe, headaches, colds, gastrointestinal problems are now a thing of the past - my weight is back to normal and I feel HEALTHY, energetic and full of energy. Now my doctor is wondering how it is. Here is the link to the article.