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v1.0.0
ICD-10 Guide
ICD-10 CodesR06.1

R06.1

Stridor

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

Code Description

ICD-10 R06.1 is a billable code used to indicate a diagnosis of stridor.

Key Diagnostic Point:

Stridor is a high-pitched, wheezing sound caused by disrupted airflow, typically occurring during inhalation. It is a clinical sign indicating upper airway obstruction and can be indicative of serious underlying conditions. Stridor may arise from various etiologies, including laryngeal edema, foreign body aspiration, infections such as croup or epiglottitis, and tumors. The presence of stridor often necessitates immediate medical evaluation, as it can signify life-threatening airway compromise. Clinicians assess stridor through physical examination, noting the timing (inspiratory, expiratory, or biphasic), associated symptoms (such as respiratory distress or cyanosis), and the patient's history. Diagnostic imaging, such as X-rays or CT scans, may be employed to identify structural abnormalities or foreign bodies. Laboratory tests may include blood work to assess for infection or inflammation. Prompt recognition and management of stridor are crucial to prevent respiratory failure and ensure patient safety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes requiring differential diagnosis
  • Need for precise documentation of symptoms and associated conditions
  • Potential for misclassification with similar respiratory conditions
  • Variability in clinical presentation based on age and underlying pathology

Audit Risk Factors

  • Inadequate documentation of the cause of stridor
  • Failure to specify the type of stridor (inspiratory, expiratory, or biphasic)
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of clarity on associated symptoms or conditions

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of respiratory symptoms, physical examination findings, and any diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with stridor due to infections, allergic reactions, or chronic respiratory conditions.

Billing Considerations

Consideration of comorbidities that may exacerbate stridor, such as asthma or COPD.

Emergency Medicine

Documentation Requirements

Immediate assessment of airway status, vital signs, and interventions taken.

Common Clinical Scenarios

Acute presentations of stridor due to foreign body aspiration or severe allergic reactions.

Billing Considerations

Rapid documentation of interventions and response to treatment is critical in emergency settings.

Coding Guidelines

Inclusion Criteria

Use R06.1 When
  • Follow official ICD
  • CM guidelines for coding symptoms and signs
  • Ensure that R06
  • 1 is used only when stridor is the primary symptom and not as a secondary diagnosis unless specified

Exclusion Criteria

Do NOT use R06.1 When
No specific exclusions found.

Related CPT Codes

31500CPT Code

Intubation, endotracheal, emergency

Clinical Scenario

Used in cases of severe stridor requiring airway management.

Documentation Requirements

Document the indication for intubation and the patient's response.

Specialty Considerations

Emergency medicine providers must document the urgency and rationale for the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of stridor, improving the ability to capture the complexity of airway issues and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of stridor, improving the ability to capture the complexity of airway issues and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of stridor, improving the ability to capture the complexity of airway issues and their management.

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 stridor and wheezing?

Stridor is a high-pitched sound typically associated with upper airway obstruction, while wheezing is a lower-pitched sound associated with bronchial obstruction. Accurate differentiation is crucial for proper diagnosis and treatment.