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Home/Diagnosis/ICD-10 Coding for Congestion

ICD-10 Coding for Congestion

R09.81
J44.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for congestion includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Nasal Congestion
Chest Congestion
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Key Information: ICD-10 Coding for Congestion

Essential facts and insights about ICD-10 Coding for Congestion

Use ICD-10 code R09.81 for nasal congestion, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Nasal congestion

Billable Code
R09.81
Billable

Diagnostic Criteria

clinical:
  • • Nasal congestion without a specific diagnosis
coding:
  • • No other specific respiratory condition identified

Applicable To

  • • Stuffy nose

Important Notes

  • • Ensure documentation specifies the absence of a more specific diagnosis.

Chronic obstructive pulmonary disease with acute lower respiratory infection

Billable Code
J44.0
Billable

Diagnostic Criteria

clinical:
  • • Spirometry showing FEV1/FVC < 0.70
  • • Documented COPD exacerbation with infection

Applicable To

  • • COPD with acute bronchitis

Important Notes

  • • Ensure infection is documented and coded separately.
Ancillary Codes

Additional codes that may be used with this diagnosis

B97.89

Other viral agents as the cause of diseases classified elsewhere

Use when a viral cause is confirmed but not specified.

Frequently Asked Questions

What is the ICD-10 code for nasal congestion?

The ICD-10 code for nasal congestion is R09.81. It is used when nasal congestion is the primary complaint without a confirmed cause.

When should R09.81 be used?

Use R09.81 when nasal congestion is the primary symptom and no specific diagnosis, such as sinusitis or allergic rhinitis, is confirmed.

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