2025 ICD-10-CM code J47
Bronchiectasis. Includes bronchiolectasis.
Medical necessity for services related to bronchiectasis should be supported by the presence of signs, symptoms, and diagnostic findings consistent with the condition. The documentation should demonstrate the severity of the disease and its impact on the patient's respiratory function. Treatment plans should be tailored to the individual's needs and address the specific manifestations of the disease.
Diagnosis and management of bronchiectasis typically falls under the purview of pulmonologists, respiratory therapists, and primary care physicians.They are responsible for ordering diagnostic tests (such as CT scans and pulmonary function tests), prescribing medications (like antibiotics and bronchodilators), and recommending therapies to manage secretions (e.g., chest physiotherapy, airway clearance devices).Patient education on proper airway clearance techniques and lifestyle modifications is also crucial.
In simple words: Bronchiectasis is a condition where the airways of the lungs become abnormally widened, leading to a buildup of mucus and difficulty clearing it. This can result in recurrent lung infections and breathing problems.
Bronchiectasis. Includes: bronchiolectasis. Use additional code to identify: exposure to environmental tobacco smoke (Z77.22), exposure to tobacco smoke in the perinatal period (P96.81), history of tobacco dependence (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), tobacco use (Z72.0). Excludes1: congenital bronchiectasis (Q33.4), tuberculous bronchiectasis (current disease) (A15.0).
Example 1: A 45-year-old patient presents with a chronic cough, shortness of breath, and recurrent lung infections. A CT scan reveals dilated airways, confirming the diagnosis of bronchiectasis (J47). Further evaluation indicates the condition is uncomplicated (J47.9)., A 60-year-old patient with a history of bronchiectasis develops an acute lower respiratory infection, presenting with increased cough, fever, and purulent sputum. The diagnosis is bronchiectasis with acute lower respiratory infection (J47.0). , A 30-year-old patient with bronchiectasis experiences a sudden worsening of symptoms, including increased cough, sputum production, and shortness of breath. This acute exacerbation (J47.1) requires hospitalization and treatment with intravenous antibiotics.
Documentation for bronchiectasis should include imaging results (CT scan) confirming the diagnosis, history of symptoms (chronic cough, sputum production, shortness of breath), frequency and severity of exacerbations, and any prior treatments attempted. Additional documentation might include pulmonary function test results, microbiological cultures, and assessment of disease severity.
** For proper billing and reimbursement, always refer to the most up-to-date ICD-10-CM coding guidelines and payer-specific policies. The information provided here is for educational purposes and should not be considered definitive coding advice.Always consult with a certified coder for specific coding scenarios.
- Specialties:Pulmonology, Respiratory Therapy, Primary Care
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center