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ICD-10 Guide
ICD-10 CodesJ20.9

J20.9

Billable

Acute bronchitis, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J20.9 is a billable code used to indicate a diagnosis of acute bronchitis, unspecified.

Key Diagnostic Point:

Acute bronchitis, unspecified, is an inflammatory condition of the bronchial tubes, typically resulting from viral infections, although bacterial infections can also be a cause. Clinically, patients present with a persistent cough, which may be productive or non-productive, accompanied by symptoms such as wheezing, chest discomfort, and shortness of breath. The anatomy involved includes the bronchi, which are the large air passages from the trachea to the lungs. Disease progression can vary; while most cases resolve within a few weeks, some patients may develop complications such as pneumonia, especially if underlying lung conditions exist. Diagnostic considerations include a thorough clinical history, physical examination, and, if necessary, imaging studies or pulmonary function tests to rule out other respiratory conditions. Given that acute bronchitis is often self-limiting, the focus is on symptom management and patient education regarding the condition's nature and expected course.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Diagnostic complexity: Low, as acute bronchitis is typically diagnosed based on clinical presentation.
  • Treatment complexity: Low, primarily involves symptomatic treatment.
  • Documentation requirements: Moderate, requires clear documentation of symptoms and clinical findings.
  • Coding specificity: Low, as J20.9 is a general code for unspecified acute bronchitis.

Audit Risk Factors

  • Common coding errors: Misuse of J20.9 when a more specific code is applicable.
  • Documentation gaps: Lack of detailed symptom description or clinical findings.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Secondary specialty: Family Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute bronchitis is a common respiratory condition that significantly impacts population health, particularly in children and the elderly. It contributes to healthcare utilization patterns, including increased visits to primary care and emergency departments. Quality measures may focus on appropriate management and follow-up care to prevent complications. Epidemiologically, acute bronchitis is prevalent during colder months, often linked to viral infections, highlighting the importance of preventive measures and public health education.

ICD-9 vs ICD-10

Acute bronchitis is a common respiratory condition that significantly impacts population health, particularly in children and the elderly. It contributes to healthcare utilization patterns, including increased visits to primary care and emergency departments. Quality measures may focus on appropriate management and follow-up care to prevent complications. Epidemiologically, acute bronchitis is prevalent during colder months, often linked to viral infections, highlighting the importance of preventive measures and public health education.

Reimbursement & Billing Impact

Reimbursement considerations include the patient's insurance policy and any specific requirements for respiratory conditions. Common denials may arise from insufficient documentation or lack of specificity in the diagnosis. Best practices include thorough documentation of symptoms, treatment provided, and patient education efforts. Coders should ensure that the code aligns with the services billed and that all necessary clinical information is included to support the claim.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J20.9?

J20.9 covers acute bronchitis that is not specified as being due to a particular infectious agent. It includes cases where the etiology is unknown or not documented, and it encompasses both viral and bacterial causes.

When should J20.9 be used instead of related codes?

J20.9 should be used when the diagnosis of acute bronchitis is confirmed but the specific cause is not identified. If the cause is known, such as viral or bacterial, the more specific code should be used.

What documentation supports J20.9?

Documentation should include a thorough history of the patient's symptoms, physical examination findings, and any relevant diagnostic tests that support the diagnosis of acute bronchitis. Clear notes on the absence of other respiratory conditions are also beneficial.