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v1.0.0
ICD-10 Guide
ICD-10 CodesR05.8

R05.8

Other specified cough

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

Code Description

ICD-10 R05.8 is a billable code used to indicate a diagnosis of other specified cough.

Key Diagnostic Point:

R05.8 is used to classify coughs that are not specified elsewhere in the ICD-10 coding system. Coughing is a common symptom that can arise from a variety of underlying conditions, ranging from respiratory infections to allergies and irritants. The cough may be acute or chronic, productive or non-productive, and can be associated with other symptoms such as wheezing, shortness of breath, or chest pain. This code is particularly useful when the cough does not fit neatly into other categories, such as those for acute bronchitis or chronic obstructive pulmonary disease (COPD). Clinicians must provide a thorough evaluation to determine the underlying cause of the cough, which may include a detailed history, physical examination, and possibly diagnostic tests such as chest X-rays or pulmonary function tests. Accurate coding requires careful documentation of the cough's characteristics and associated symptoms to ensure appropriate classification and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes for cough
  • Need for detailed documentation to specify the nature of the cough
  • Differentiation from other cough-related codes
  • Potential overlap with other respiratory conditions

Audit Risk Factors

  • Insufficient documentation of cough characteristics
  • Failure to specify associated symptoms or conditions
  • Inconsistent coding practices among providers
  • Use of R05.8 when a more specific code is available

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including duration, frequency, and characteristics of the cough, as well as any associated symptoms.

Common Clinical Scenarios

Patients presenting with chronic cough, unexplained cough after respiratory infections, or cough associated with other systemic symptoms.

Billing Considerations

Consideration of comorbidities such as asthma or GERD that may contribute to cough.

Emergency Medicine

Documentation Requirements

Acute care documentation must include the onset of cough, severity, and any immediate interventions or treatments provided.

Common Clinical Scenarios

Patients presenting with acute cough due to infections, allergic reactions, or foreign body aspiration.

Billing Considerations

Rapid assessment of cough etiology is crucial in emergency settings to rule out life-threatening conditions.

Coding Guidelines

Inclusion Criteria

Use R05.8 When
  • According to ICD
  • 10 coding guidelines, R05
  • 8 should be used when the cough is specified as 'other' and does not fall under more specific codes
  • Coders should ensure that the documentation supports the use of this code and that it is not used inappropriately when a more specific diagnosis is available

Exclusion Criteria

Do NOT use R05.8 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents with a cough for evaluation and management.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Internal medicine may require more detailed documentation compared to urgent care settings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cough-related symptoms, enabling better tracking of cough-related conditions and improving the accuracy of healthcare data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cough-related symptoms, enabling better tracking of cough-related conditions and improving the accuracy of healthcare data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cough-related symptoms, enabling better tracking of cough-related conditions and improving the accuracy of healthcare data.

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

When should I use R05.8 instead of a more specific cough code?

Use R05.8 when the cough does not fit into any specific categories provided by other codes and when the documentation supports the need for this classification.