There are 3 very specific documentation requirements to fully describe your patients’ asthma status.

1. Type

  • Mild, Moderate or Severe

2. Character

  • Intermittent or Persistent

3. Complications

  • Acute Exacerbation
  • Status Asthmaticus
  • Acute Respiratory Failure

Excellent Documentation Examples:

  • Mild, Intermittent Asthma without acute exacerbation
  • Acute Exacerbation of Moderate, Intermittent Asthma
  • Acute Exacerbation of Severe, Persistent Asthma with Status Asthmaticus and Acute Respiratory Failure

Download the complete tip, Asthma.