2025 ICD-10-CM code J47.1
Bronchiectasis with acute exacerbation.
Medical necessity for the treatment of an acute exacerbation of bronchiectasis is established by the presence of signs and symptoms indicating a worsening of the condition. This typically includes increased sputum production, change in sputum color or consistency, increased cough frequency or severity, shortness of breath, and/or chest pain.
The physician is responsible for diagnosing the acute exacerbation of bronchiectasis, typically through a combination of physical examination, patient history, and imaging studies such as chest X-rays or CT scans. They are also responsible for determining the appropriate treatment plan, which may include antibiotics, bronchodilators, and airway clearance techniques.
- Diseases of the respiratory system (J00-J99)
- J47 BronchiectasisJ47.0 Bronchiectasis without acute exacerbationJ47.1 Bronchiectasis with acute exacerbationJ47.9 Bronchiectasis, unspecified
In simple words: This code indicates that the person has a condition called bronchiectasis, which is a permanent widening of the airways in the lungs, and is currently experiencing a sudden worsening of symptoms.
Bronchiectasis with acute exacerbation. This code specifies that the patient is experiencing a worsening or flare-up of their existing bronchiectasis.
Example 1: A patient with a known history of bronchiectasis presents with increased cough, sputum production, and shortness of breath. The physician diagnoses an acute exacerbation of bronchiectasis., A patient with cystic fibrosis develops recurrent infections and progressive airway damage, leading to a diagnosis of bronchiectasis with acute exacerbation during periods of infection., A patient develops bronchiectasis following a severe pneumonia infection. During a follow-up visit, they experience worsened symptoms, indicating an acute exacerbation, and are prescribed antibiotics and respiratory therapy.
Documentation should include evidence of the acute worsening of symptoms, such as increased cough, sputum production, change in sputum character, shortness of breath, and/or chest pain. Imaging results, pulmonary function tests, and other diagnostic tests should also be documented to support the diagnosis.
** For accurate coding, it is crucial to distinguish between bronchiectasis with acute exacerbation (J47.1) and bronchiectasis without acute exacerbation (J47.0). The selection of the correct code depends on the presence or absence of signs and symptoms indicating an acute worsening of the condition.
- Specialties:Pulmonology, Internal Medicine, Infectious Disease
- Place of Service:Inpatient Hospital, Office, Outpatient Hospital