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Home/Diagnosis/ICD-10 Coding for Dyspnea on Exertion

ICD-10 Coding for Dyspnea on Exertion

R06.02
I50.21

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

Also Known as:
Exertional Dyspnea
DOE
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Key Information: ICD-10 Coding for Dyspnea on Exertion

Essential facts and insights about ICD-10 Coding for Dyspnea on Exertion

Use ICD-10 code R06.02 for shortness of breath, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Shortness of breath

Billable Code
R06.02
Billable

Diagnostic Criteria

clinical:
  • • Patient experiences dyspnea specifically during exertion.
coding:
  • • No primary condition like heart failure or COPD is identified.

Applicable To

  • • Dyspnea on exertion

Important Notes

  • • Ensure documentation specifies exertion as the trigger for dyspnea.

Acute systolic (congestive) heart failure

Billable Code
I50.21
Billable

Diagnostic Criteria

clinical:
  • • Echocardiogram showing reduced ejection fraction
  • • Elevated BNP levels

Applicable To

  • • Heart failure with reduced ejection fraction

Important Notes

  • • Ensure heart failure is documented as the primary cause of dyspnea.
Ancillary Codes

Additional codes that may be used with this diagnosis

R06.89

Other abnormalities of breathing

Use when additional specific breathing patterns are documented.

Frequently Asked Questions

What is the ICD-10 code for dyspnea on exertion?

The ICD-10 code for dyspnea on exertion is R06.02, used when exertion is the primary trigger and no underlying condition is identified.

How do you code dyspnea on exertion with heart failure?

Code the heart failure as primary (e.g., I50.21) and R06.02 as secondary if exertion-related dyspnea is documented.

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