Bronchiectasis
ICD-10 J47 is a used to indicate a diagnosis of bronchiectasis.
Bronchiectasis is a chronic respiratory condition characterized by the abnormal and permanent dilation of the bronchi, which are the large air passages from the trachea to the lungs. This condition often results from repeated infections or obstructions, leading to a cycle of inflammation and damage to the bronchial walls. Clinically, patients may present with a persistent cough, production of large amounts of sputum, and recurrent respiratory infections. The anatomy involved primarily includes the bronchi and surrounding lung tissue, which may become inflamed and scarred over time. Disease progression can lead to significant respiratory compromise, including reduced lung function and increased susceptibility to further infections. Diagnostic considerations include imaging studies such as chest X-rays and CT scans, which can reveal the characteristic bronchial dilation, as well as pulmonary function tests to assess lung capacity and function. Early diagnosis and management are crucial to prevent complications such as respiratory failure and to improve the quality of life for affected individuals.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J47 covers bronchiectasis due to various underlying causes, including post-infectious bronchiectasis, cystic fibrosis, and bronchiectasis due to immunodeficiency. It is essential to document the underlying cause for accurate coding.
J47 should be used when there is clear evidence of bronchial dilation and chronic symptoms consistent with bronchiectasis. It is differentiated from J44 codes, which pertain to chronic obstructive pulmonary disease without bronchiectasis.
Documentation should include a thorough clinical history, imaging studies showing bronchial dilation, and evidence of recurrent respiratory infections. Pulmonary function tests may also support the diagnosis.
