Not Valid for Submission
R05 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of cough. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
Specific Coding for Cough
Non-specific codes like R05 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for cough:
New 2022 ICD-10 Code
R05 is new to ICD-10 code set for the FY 2022, effective October 1, 2021. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2021. This is a new and revised code for the FY 2022 (October 1, 2021 - September 30, 2022).
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R05:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- cough with hemorrhage R04.2
- ANTITUSSIVE AGENTS-. agents that suppress cough. they act centrally on the medullary cough center. expectorants also used in the treatment of cough act locally.
- COUGH-. a sudden audible expulsion of air from the lungs through a partially closed glottis preceded by inhalation. it is a protective response that serves to clear the trachea bronchi and/or lungs of irritants and secretions or to prevent aspiration of foreign materials into the lungs.
- WHOOPING COUGH-. a respiratory infection caused by bordetella pertussis and characterized by paroxysmal coughing ending in a prolonged crowing intake of breath.
- HEADACHE DISORDERS PRIMARY-. conditions in which the primary symptom is headache and the headache cannot be attributed to any known causes.
Convert R05 to ICD-9 Code
Information for Patients
Coughing is a reflex that keeps your throat and airways clear. Although it can be annoying, coughing helps your body heal or protect itself. Coughs can be either acute or chronic. Acute coughs begin suddenly and usually last no more than 2 to 3 weeks. Acute coughs are the kind you most often get with a cold, flu, or acute bronchitis. Chronic coughs last longer than 2 to 3 weeks. Causes of chronic cough include
- Chronic bronchitis
- COPD (chronic obstructive pulmonary disease)
- GERD (gastroesophageal reflux disease)
- Throat disorders, such as croup in young children
- Some medicines
Water can help ease your cough - whether you drink it or add it to the air with a steamy shower or vaporizer. If you have a cold or the flu, antihistamines may work better than non-prescription cough medicines. Children under four should not have cough medicine. For children over four, use caution and read labels carefully.
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