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2025 ICD-10-CM code J30

Vasomotor and allergic rhinitis. Includes: spasmodic rhinorrhea.

When a respiratory condition involves multiple sites, code to the lower anatomic site. Do not use J30 with codes for certain conditions originating in the perinatal period (P04-P96), infectious diseases (A00-B99), pregnancy complications (O00-O9A), congenital anomalies (Q00-Q99), endocrine/ metabolic diseases (E00-E88), injuries/poisoning (S00-T88), neoplasms (C00-D49), smoke inhalation (T59.81-), or unclassified symptoms (R00-R94).

Medical necessity for treatment is established by documenting the impact of rhinitis on the patient's quality of life, including interference with sleep, work, or daily activities.Severity and duration of symptoms, as well as failed attempts at self-treatment, should also be noted.

Clinicians should distinguish between vasomotor and allergic rhinitis through detailed history taking, including allergen exposure and symptom patterns. Physical examination may reveal swollen nasal mucosa. Allergy testing can confirm allergic rhinitis and identify specific allergens.

IMPORTANT:For allergic rhinitis with asthma, use J45.909. For rhinitis NOS, use J31.0. More specific codes exist for various types of allergic rhinitis (e.g., J30.1 for pollen, J30.2 for other seasonal, J30.81 for animal hair, J30.89 for other allergens). Use additional codes to specify exposure to tobacco smoke (Z77.22), perinatal tobacco smoke exposure (P96.81), tobacco dependence history (Z87.891), occupational tobacco smoke exposure (Z57.31), or tobacco use (Z72.0).

In simple words: This code represents a condition where your nose gets inflamed and runny, either due to allergies or other irritants.

Vasomotor and allergic rhinitis encompasses a range of nasal conditions characterized by inflammation of the mucous membranes. This includes both vasomotor rhinitis, a non-allergic form triggered by irritants or environmental factors, and allergic rhinitis, triggered by allergens like pollen, dust mites, pet dander, etc., leading to symptoms such as sneezing, runny nose, and congestion. Spasmodic rhinorrhea, characterized by sudden episodes of excessive watery nasal discharge, is also included.

Example 1: A patient presents with sneezing, runny nose, and nasal congestion during spring. Allergy testing confirms pollen allergy., A patient experiences chronic nasal congestion and postnasal drip, worsened by cold air and strong smells, but allergy tests are negative., A patient reports sudden, uncontrollable episodes of watery nasal discharge, particularly after exposure to irritants like dust or smoke.

Documentation should clearly specify "allergic rhinitis" or "vasomotor rhinitis," along with symptom details (e.g., sneezing, runny nose, congestion, itching). For allergic rhinitis, document suspected allergens, any associated asthma, and tobacco exposure if relevant. Allergy test results should also be included.

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