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2025 ICD-10-CM code J47.0

Bronchiectasis with an acute lower respiratory infection.

Appropriate codes for the specific infection should be added.Ensure the documentation fully supports the diagnosis of both bronchiectasis and the acute lower respiratory infection.

Medical necessity for this code is established by the presence of both bronchiectasis and an acute lower respiratory infection.The acute infection needs to be documented, and appropriate tests to confirm this should have been completed and charted.

Diagnosis and management of bronchiectasis and the acute respiratory infection. This includes ordering and interpreting relevant tests (e.g., chest X-ray, sputum culture), prescribing appropriate antibiotics and other treatments, and monitoring the patient's response to therapy.

IMPORTANT:J47.1 (Bronchiectasis with acute exacerbation) should be used if the acute episode is an exacerbation of pre-existing bronchiectasis without a new infection.Additional codes may be necessary to specify the type of infection (e.g., pneumonia, bronchitis).

In simple words: This code describes a lung condition where the airways are permanently widened, and there's a current lung infection.

This code signifies bronchiectasis, a chronic condition characterized by irreversible dilation of the bronchi and bronchioles, accompanied by an acute infection of the lower respiratory tract.The acute infection may manifest as bronchitis, pneumonia, or other lower respiratory infections.This code is used when both the chronic bronchiectasis and an acute infection are present.

Example 1: A 60-year-old patient with a history of bronchiectasis presents with increased cough, purulent sputum, fever, and shortness of breath. Chest X-ray shows consolidation in the right lower lobe, and sputum culture reveals *Pseudomonas aeruginosa*. J47.0 is coded, along with a code for the specific infection., A 75-year-old patient with known bronchiectasis is admitted to the hospital with worsening cough and increased sputum production.The patient has a history of recurrent exacerbations. Physical examination and chest X-ray show signs of inflammation but not a distinct infection. J47.1 is the most appropriate code in this scenario., A 45-year-old patient presents with a new onset cough with thick sputum and shortness of breath. Diagnostic imaging reveals bronchiectasis, and the sputum sample grows *Haemophilus influenzae*.J47.0 is coded, alongside codes for the specific causative organism if the payer requires it.

Detailed history of respiratory symptoms, including duration, character of sputum, and presence of fever or other systemic symptoms.Results of chest X-ray, CT scan (if performed), sputum culture, and other relevant laboratory tests.Treatment plan, including antibiotics prescribed and their duration.Response to treatment and follow-up care.

** Bronchiectasis is a chronic condition, and the acute lower respiratory infection represents an acute exacerbation of the underlying disease.The code should only be used when both conditions are present.Code selection must be supported by thorough documentation in the patient's medical record.

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