2025 ICD-10-CM code J20.0
(Active) Effective Date: N/A Revision Date: N/A Diseases of the respiratory system - Other acute lower respiratory infections Diseases of the respiratory system (J00-J99) Feed
Acute bronchitis caused by Mycoplasma pneumoniae.
Modifiers may be applicable depending on the circumstances of service. Consult your local payer guidelines for specifics. For example, a modifier may be needed to specify the place of service (e.g., hospital inpatient vs. outpatient).
Medical necessity for J20.0 is established by the presence of clinical signs and symptoms consistent with acute bronchitis along with confirmation of Mycoplasma pneumoniae infection through appropriate laboratory testing. Treatment with antibiotics is medically necessary to reduce symptoms, prevent complications (such as pneumonia), and shorten the duration of illness.
Diagnosis and treatment of respiratory infections;ordering and interpretation of laboratory tests;prescribing appropriate antibiotics; monitoring patient response to treatment.
In simple words: Acute bronchitis caused by Mycoplasma pneumoniae is a type of lung infection. It causes inflammation in your airways, leading to a cough (often dry at first, later producing mucus), and sometimes fever or sore throat. While usually not serious, it can sometimes develop into pneumonia. A doctor will diagnose this through an exam and may order tests if needed.
J20.0, Acute bronchitis due to Mycoplasma pneumoniae, refers to an acute inflammation of the bronchi (airways in the lungs) specifically caused by the bacterium Mycoplasma pneumoniae.This condition is characterized by symptoms such as cough (initially dry, potentially producing phlegm), and may also include fever and sore throat.It's important to note that while usually mild, it can sometimes lead to pneumonia in a small percentage of cases. The diagnosis is made based on clinical presentation and laboratory confirmation if needed.
Example 1: A 25-year-old presents with a cough, fever, and fatigue for one week.Chest x-ray is normal.A Mycoplasma pneumoniae PCR test is positive, leading to a diagnosis of J20.0.The patient is treated with azithromycin and recovers fully., An 8-year-old child is admitted to the hospital with pneumonia.Testing reveals Mycoplasma pneumoniae infection as the causative agent. The diagnosis of J20.0, acute bronchitis due to Mycoplasma pneumoniae, is made in addition to the pneumonia code, representing the underlying bronchitis, which has contributed to pneumonia. Treatment includes macrolides., A 60-year-old smoker presents with worsening cough and shortness of breath.A chest x-ray reveals bronchiectasis, and a culture shows Mycoplasma pneumoniae. The primary diagnosis is bronchiectasis with acute bronchitis due to Mycoplasma pneumoniae. Treatment is focused on managing symptoms and controlling the underlying bronchiectasis, in addition to targeted antibiotics for the Mycoplasma infection.
* Complete history and physical examination focusing on respiratory symptoms.* Chest x-ray (to rule out pneumonia and other complications).* Laboratory tests (Mycoplasma pneumoniae PCR, culture, or serology).* Documentation of treatment plan (including antibiotics prescribed, duration, and patient response).* Detailed progress notes reflecting symptoms, vital signs, and response to treatment.
** The severity of acute bronchitis due to Mycoplasma pneumoniae can vary. While often mild, it can cause significant discomfort and in some cases, lead to more serious complications like pneumonia, particularly in young children, the elderly, or those with underlying respiratory conditions.Prompt diagnosis and treatment are essential to ensure optimal patient outcomes.
- Payment Status: Active
- Specialties:Pulmonology, Internal Medicine, Pediatrics, Family Medicine
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Urgent Care Facility