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  6. 2024 ICD-10-CM Code R05.4
Version 2024
Billable Code
No Valid Principal Dx
Unacceptable Principal Diagnosis

2024 ICD-10-CM Diagnosis Code R05.4

Cough syncope

ICD-10-CM Code:
R05.4
Short Description:
Cough syncope
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    (R00–R99)
    • Symptoms and signs involving the circulatory and respiratory systems
      (R00-R09)

R05.4 is a billable diagnosis code used to specify a medical diagnosis of cough syncope. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

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.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Situational syncope
  • Tussive syncope

Clinical Classification

Clinical Information

  • 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.

  • Headache Disorders, Primary

    conditions in which the primary symptom is headache and the headache cannot be attributed to any known causes.

  • Whooping Cough

    a respiratory infection caused by bordetella pertussis and characterized by paroxysmal coughing ending in a prolonged crowing intake of breath.

  • Expectorants

    agents that increase mucous excretion. mucolytic agents, that is drugs that liquefy mucous secretions, are also included here.

  • Headache

    the symptom of pain in the cranial region. it may be an isolated benign occurrence or manifestation of a wide variety of headache disorders.

  • Bordetella pertussis

    a species of gram-negative, aerobic bacteria that is the causative agent of whooping cough. its cells are minute coccobacilli that are surrounded by a slime sheath.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • syncope and collapse R55

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Replacement Code

R054 replaces the following previously assigned ICD-10-CM code(s):

  • R05 - Cough

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - Code Added, effective from 10/1/2021 through 9/30/2022

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.