What are the 4 stages of COPD?

Medically reviewed by Marissa WalshPharm.D., BCPS-AQ ID
Licensed Pharmacist
Updated Feb 4, 2026  •  Published Jan 8, 2026
Fact Checked

The four stages of COPD are mild, moderate, severe, and very severe. The stages are based on symptoms, spirometry testing results, and the number of COPD exacerbations someone experiences.

Key takeaways

  • There isn't one single test for COPD. Your healthcare provider may diagnose COPD by conducting a physical examination, evaluating your symptoms, and reviewing your medical history. They may also perform a spirometry test, chest X-rays, CT scans, and other tests.

  • There are two main types of COPD: Chronic bronchitis and emphysema.

  • There are four stages of COPD, ranging from mild to severe.

4 stages of COPD

Stage 1 (Mild COPD) Few symptoms, and the individual may not know that their lung function is abnormal. Treatment typically includes lifestyle changes.
Stage 2 (Moderate COPD) Symptoms worsen, and breathing problems become more apparent. People often seek medical attention at this stage. Treatment may include pulmonary rehabilitation, steroids, and oxygen
Stage 3 (Severe COPD) More severe symptoms, frequent flare-ups, and further decreased lung function. Treatment typically includes the use of an oxygen tank to help with breathing.
Stage 4 (Very severe COPD) This stage is also known as end-stage COPD, with extremely limited airflow and potentially life-threatening flare-ups. Treatment includes surgical intervention, such as a lung transplant or a bullectomy.

Want more info? Read more: Emphysema vs. COPD: What stage of COPD is emphysema?

Patient assistance resources

COPD is primarily caused by long-term exposure to lung irritants, like tobacco smoke. If you've been diagnosed with COPD and have been prescribed COPD medication, you can use SingleCare coupons to save money on your prescription.


Medical disclaimer: This content is for general informational purposes only and does not constitute medical advice. Always consult your pulmonologist or other healthcare provider before making changes to your medication regimen.

Sources

Medically reviewed by Marissa WalshPharm.D., BCPS-AQ ID
Licensed Pharmacist

Marissa Walsh, Pharm.D., BCPS-AQ ID, graduated with her Doctor of Pharmacy degree from the University of Rhode Island in 2009, then went on to complete a PGY1 Pharmacy Practice Residency at Charleston Area Medical Center in Charleston, West Virginia, and a PGY2 Infectious Diseases Pharmacy Residency at Maine Medical Center in Portland, Maine. Dr. Walsh has worked as a clinical pharmacy specialist in Infectious Diseases in Portland, Maine, and Miami, Florida, prior to setting into her current role in Buffalo, New York, where she continues to work as an Infectious Diseases Pharmacist in a hematology/oncology population.

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