ICD-10 code J12. 1 for Respiratory syncytial virus pneumonia is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
Note that B97. 4 cannot be a main ICU diagnosis but is a specification of a different diagnostic code (e.g. may be the combination Other apnea in newborn P28.
J21. 0 - Acute bronchiolitis due to respiratory syncytial virus. ICD-10-CM.
ICD-10 code: J06. 9 Acute upper respiratory infection, unspecified.
ICD-10 Code for Acute respiratory distress- R06. 03- Codify by AAPC.
SymptomsRunny nose.Decrease in appetite.Coughing.Sneezing.Fever.Wheezing.
9: Fever, unspecified.
Respiratory syncytial virus (RSV) is a viral organism that can cause upper and lower respiratory tract infections. It commonly causes bronchiolitis (inflammation of the lower airways) and pneumonia in children and infants. In the United States, RSV is more common during the winter and spring months.
Bronchiolitis is a lung infection that's usually caused by the respiratory syncytial virus (RSV), which produces swelling and mucus production in the small breathing tubes of your child's lungs. Infections are most common during the winter and typically affect children under two years of age.
RSV codes: RSV‐specific ICD‐10 codes J12. 1, J20.
ICD-10 code B34. 9 for Viral infection, unspecified is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .
The following questions and answers were jointly developed and approved by the American Hospital Association's Central Office on ICD-10-CM/PCS and the American Health Information Management Association. ICD-10-CM code U07. 1, COVID-19, may be used for discharges/date of service on or after April 1, 2020.
For example, a patient might present to the emergency room because he is dehydrated and is admitted for gastroenteritis. Gastroenteritis is the principal diagnosis in this instance. Many people define it as the diagnosis that “bought the bed,” or the diagnosis that led the physician to decide to admit the patient.
Definition: The Principal/Primary Diagnosis is the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.
The primary diagnosis should be listed first. Other additional codes for any coexisting conditions are to be then listed. It should be remembered that, your diagnosis—the disorder you are evaluating and/or treating—is considered the primary diagnosis and should be listed first on the claim form.
While a principal diagnosis is the underlying cause of patient symptoms, the primary diagnosis is used for healthcare billing purposes.
The 2022 edition of ICD-10-CM J12.1 became effective on October 1, 2021.
J11.82 Influenza due to unidentified influenza virus with myocarditis. J11.83 Influenza due to unidentified influenza virus with otitis media. J11.89 Influenza due to unidentified influenza virus with other manifestations. J12 Viral pneumonia, not elsewhere classified.
Rationale: RSV is the acronym for respiratory syncytial virus. In the ICD-10-CM Alphabetic Index look for Bronchiolitis. Acute is a nonessential modifier. Bronchiolitis (acute) (infective) (subacute)/due to/respiratory syncytial virus refers you to J21.0. Verification in the Tabular List confirms code selection.
Rationale: According to ICD-10-CM guideline I.C.10.b.1, acute respiratory failure can be a primary diagnosis with another acute diagnosis if it is clear the respiratory failure was responsible for the patient being admitted. Look in the ICD-10-CM Alphabetic Index for Failure/respiration, respiratory/acute J96.00-. We do not have documentation supporting hypercapnia or hypoxia, so the respiratory failure is unspecified which is code J96.00. Then, in the Alphabetic Index, look for Effusion/chest which directs you to see Effusion, pleura. Effusion/pleura, pleurisy, pleuritic, pleuropericardial directs you to J90. Confirm code selection in the Tabular List.
Rationale: In the CPT® Index look for Laryngoscopy/Direct directing you to 31515-31571. 31571 is appropriate for the injection into the vocal cords using an operating microscope. There is a parenthetical instruction note that states, "Do not report code 69990 in addition to code 31571". In the ICD-10-CM Alphabetic Index look for Spasm (s), spastic, spasticity/larynx, laryngeal which directs you to code J38.5. Verify code selection in the Tabular List.
In the ICD-10-CM Alphabetic Index look for Asthma, asthmatic (bronchial) (catarrh) (spasmodic)/with/chronic obstructive pulmonary disease/with/exacerbation (acute) referring you to J44.1. The code can also be located by look for Disease/lung/obstructive (chronic)/with/acute/exacerbation NEC guiding you to code J44.1. There is an instructional note for category J44 to code also type of asthma, if applicable. Asthma J45.901 is reported. Verify code selection in the Tabular List.
Rationale: In the ICD-10-CM Alphabetic Index look for Pneumothorax/spontaneous NOS referring you to code J93.83. Verify code selection in the Tabular List.
Look in the ICD-10-CM Alphabetic Index for Effusion/pleura, pleurisy, pleuritic, pleuropericardial/malignant directing you to code J91.0. In the Tabular List there is a note under J91.0 to code the malignant neoplasm first, if known. In this case, it is known. According to ICD-10-CM guideline I.C.2.b when treatment is directed to the secondary cancer, the secondary cancer is reported first. The primary cancer is reported second. Treatment is due to the accumulation of fluid due to metastasis to the pleura. Look in the ICD-10-CM Table of Neoplasms for Neoplasm, neoplastic/pleura, pleural (cavity) and use the code from the Malignant Secondary column which directs the coder to C78.2. The primary malignancy should also be reported. Look in the Table of Neoplasms for Neoplasm, neoplastic/lung and use the code from the Malignant Primary column which directs the coder to C34.9-. In the Tabular List, 5 th character 1 is selected for the right lung. Verify code selection in the Tabular List.
Next in the CPT® Index look for Endoscopy/Nose/Diagnostic which refers you to 31231, 31233, 31235. The correct code is 31231 because there is no mention of entering the maxillary or sphenoid sinuses. Modifier 50 is not needed because 31231 describes a unilateral or bilateral procedure. Code 31231 is listed as a separate procedure; therefore, modifier 59 is appended. These procedures are indeed separate because a nasal endoscope was used and then the provider used a flexible laryngoscope. The otolaryngologist has diagnosed chronic pansinusitis. In the ICD-10-CM Alphabetic Index look for Pansinusitis (chronic) directing you to J32.4. Also diagnosed is chronic laryngotracheitis. In the Alphabetic Index look for Laryngotracheitis/chronic directing you to J37.1. Code J37.1 encompasses the LPR and the chronic laryngitis and tracheitis.