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Home/Diagnosis/ICD-10 Coding for Cough and Congestion

ICD-10 Coding for Cough and Congestion

R05.1
R05.2
R05.3

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

Also Known as:
Cough with Nasal Congestion
Upper Respiratory Tract Infection Symptoms
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Key Information: ICD-10 Coding for Cough and Congestion

Essential facts and insights about ICD-10 Coding for Cough and Congestion

Use ICD-10 code R05.1 for acute cough, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute cough

Billable Code
R05.1
Billable

Diagnostic Criteria

  • • Cough duration less than 3 weeks
  • • Absence of chronic respiratory conditions

Applicable To

  • • Cough lasting less than 3 weeks

Important Notes

  • • Ensure cough duration is clearly documented to avoid incorrect coding.

Subacute cough

Billable Code
R05.2
Billable

Diagnostic Criteria

  • • Cough duration between 3 to 8 weeks
  • • No signs of chronic respiratory disease

Applicable To

  • • Cough lasting 3-8 weeks

Important Notes

  • • Document the exact duration of the cough to ensure accurate coding.

Chronic cough

Billable Code
R05.3
Billable

Diagnostic Criteria

  • • Cough duration more than 8 weeks
  • • Exclusion of acute respiratory infections

Applicable To

  • • Cough lasting more than 8 weeks

Important Notes

  • • Ensure chronicity is well-documented to avoid incorrect coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

J45.991

Cough variant asthma

Use when asthma is confirmed as the underlying cause of cough.

Z72.0

Tobacco use

Document tobacco use if relevant to the cough.

K21.0

Gastro-esophageal reflux disease with esophagitis

Use if GERD is contributing to the chronic cough.

Frequently Asked Questions

What is the ICD-10 code for acute cough?

The ICD-10 code for acute cough is R05.1, used for coughs lasting less than 3 weeks.

How do you code a chronic cough?

Chronic cough, lasting more than 8 weeks, is coded as R05.3 in ICD-10.

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