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v1.0.0
ICD-10 Guide
ICD-10 CodesR05.2

R05.2

Subacute cough

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R05.2 is a billable code used to indicate a diagnosis of subacute cough.

Key Diagnostic Point:

Subacute cough is defined as a cough that persists for more than three weeks but less than eight weeks. It often follows an acute respiratory infection and may be associated with residual airway inflammation or other underlying conditions. Patients may experience a dry or productive cough, which can be exacerbated by environmental factors such as allergens or irritants. Common causes include post-infectious cough, asthma, gastroesophageal reflux disease (GERD), and chronic bronchitis. The cough may be accompanied by other symptoms such as wheezing, shortness of breath, or chest discomfort. Clinical evaluation typically involves a thorough history and physical examination, and may include diagnostic tests such as chest X-rays, spirometry, or allergy testing to identify underlying causes. Management focuses on treating the underlying condition and may involve bronchodilators, corticosteroids, or lifestyle modifications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other cough-related codes
  • Need for thorough documentation of symptoms
  • Potential for misclassification with acute or chronic cough

Audit Risk Factors

  • Inadequate documentation of cough duration
  • Failure to identify and document underlying conditions
  • Misuse of related cough codes
  • Lack of clarity in clinical notes regarding symptom severity

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of cough duration, associated symptoms, and any previous treatments.

Common Clinical Scenarios

Patients presenting with a persistent cough following a respiratory infection, with or without wheezing.

Billing Considerations

Consideration of comorbidities such as asthma or COPD that may complicate the clinical picture.

Emergency Medicine

Documentation Requirements

Acute care documentation must include a thorough assessment of respiratory status and any immediate interventions.

Common Clinical Scenarios

Patients presenting with acute exacerbation of cough, possibly with respiratory distress.

Billing Considerations

Rapid assessment and documentation of vital signs and oxygen saturation are critical.

Coding Guidelines

Inclusion Criteria

Use R05.2 When
  • Coders should refer to the official ICD
  • CM guidelines for coding symptoms and signs, ensuring that the duration of the cough is clearly documented
  • The code R05
  • 2 should only be used when the cough is specifically subacute

Exclusion Criteria

Do NOT use R05.2 When
No specific exclusions found.

Related CPT Codes

94010CPT Code

Spirometry

Clinical Scenario

Used to assess lung function in patients with persistent cough.

Documentation Requirements

Document the indication for the test and the results.

Specialty Considerations

Internal medicine may use spirometry more frequently than emergency medicine.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cough types, improving the accuracy of data collection and reimbursement processes. R05.2 provides a clear distinction for subacute cough, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cough types, improving the accuracy of data collection and reimbursement processes. R05.2 provides a clear distinction for subacute cough, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. R05.2 provides a clear distinction for subacute cough, which was less defined in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between acute, subacute, and chronic cough?

Acute cough lasts less than three weeks, subacute cough lasts between three and eight weeks, and chronic cough persists for more than eight weeks. Accurate coding requires documentation of the duration.