H65.111 - Acute suppurative otitis media without rupture of eardrum, right ear

Clinical Definition

Mild intermittent asthma is a chronic respiratory condition characterized by occasional episodes of wheezing, coughing, and shortness of breath occurring less than twice weekly, with nocturnal symptoms occurring less than twice monthly.

Documentation Requirements

• Frequency of symptoms (must specify "less than twice per week")

• Severity level (must document as "mild")

• Pattern/timing (must specify "intermittent")

• Documentation of baseline lung function (FEV1/FVC ratio)

• Treatment response (typically PRN bronchodilators only)

• Nocturnal symptom frequency (less than 2x/month)

• Impact on daily activities (minimal to no interference)

Common Synonyms

• Reactive airway disease

• Exercise-induced bronchospasm

• Childhood asthma

• Seasonal asthma

• Allergic asthma

Coding Conflicts

Excludes1:

• Moderate persistent asthma

• Severe persistent asthma

• Mild persistent asthma

Excludes2:

• Acute severe asthma

• Status asthmaticus

• COPD with asthma

Scribing.io Automation

The AI scribe automatically identifies and captures key phrases related to:

• Symptom frequency descriptors ("once weekly", "occasionally")

• Severity terms ("mild", "minimal")

• Pattern indicators ("intermittent", "sporadic")

• Treatment responses

• FEV1 measurements
  The system flags missing elements needed for complete documentation and prompts for specific clarification when required.