The Asthma Assessment includes patients between the ages of 5 and 40. ChiroSuiteEHR calculates age based on the date of birth entered in the Patient Information window.
The patient must have an ICD diagnosis code between 489 and 494 entered in the Diagnosis window. The most commonly used codes for Asthma are from 493.00 to 493.92.
• 493.00 Asthma extrinsic unspecified
• 493.02 Asthma extrinsic with acute exacerbation
• 493.10 Asthma intrinsic unspecified
• 493.12 Asthma intrinsic with acute exacerbation
• 493.20 Asthma chronic obstructive unspecified
• 493.22 Asthma chronic obstructive acute exacerbation
• 493.81 Asthma exercise induced bronchospasm
• 493.82 Asthma cough variant
• 493.90 Asthma unspecified
• 493.92 Asthma unspecified with acute exacerbation
Patient complaints in the Subjective Complaint window must include daytime asthma symptoms or nighttime asthma symptoms. Selecting the simple “asthma” item does not meet the criteria for Meaningful Use. This must be selected from the Anterior Chest or Posterior Upper Back area on the Subjective Complaints window.
In ChiroPadEMR modalities, select one or more of the following items to document this correctly.
• Asthma Assessment – 1005F
• Asthmatic non-smoker and no second hand smoke –G8687
• Asthma symptoms evaluated – 1005F
• Asthmatic not eligible – G 8691
• Asthma symptoms not evaluated - 1005F-8P
• Asthma tobacco cessation counseling - 4000F
• Asthma tobacco cessation no counseling - 4000F-8P
• Asthma tobacco smoker or second hand - G8686
• Asthmatic’s tobacco use not assessed - G8693
• Asthma smoker/second hand use - G8690
• Asthmatic’s smoking not assessed - G8689