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Criteria that Support the Use of J44.1 Code Having trouble breathing worse than usual Coughing up more sputum than usual Taking systemic steroids or antibiotics due to an acute worsening of COPD An ED visit or hospitalization due to acute respiratory decline Documented by the doctor as exacerbation, acute exacerbation, or AECOPD. Criteria That Do Not Support the Use of J44.1 Code Visit for regular COPD treatment but no worsening VISIT for something else but mention of COPD COPD, stable code is J44.9 J44.0 - ICD-10 Code for COPD with Acute Lower Respiratory Infection Code J44.0 should be assigned for a patient suffering from COPD if there is any acute infection in the lower respiratory tract, such as pneumonia or acute bronchitis