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v1.0.0
ICD-10 Guide
ICD-10 CodesR06.7

R06.7

Sneezing

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

Code Description

ICD-10 R06.7 is a billable code used to indicate a diagnosis of sneezing.

Key Diagnostic Point:

Sneezing is a reflex action characterized by the sudden expulsion of air from the lungs through the nose and mouth, often accompanied by a sound. It serves as a protective mechanism to clear irritants from the nasal passages. Common causes of sneezing include allergic rhinitis, upper respiratory infections, irritants such as smoke or strong odors, and environmental factors like pollen or dust. In clinical practice, sneezing can be a symptom of various conditions, ranging from benign allergies to more serious respiratory infections. The diagnostic approach typically involves a thorough patient history, physical examination, and possibly allergy testing or imaging studies if an underlying condition is suspected. It is essential for healthcare providers to document the frequency, duration, and associated symptoms of sneezing to aid in accurate diagnosis and treatment planning.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Commonly encountered symptom in various settings
  • Generally straightforward documentation requirements
  • Limited need for extensive diagnostic testing
  • Clear association with common conditions

Audit Risk Factors

  • Inadequate documentation of associated symptoms
  • Failure to specify underlying cause if known
  • Misuse of sneezing code in absence of clinical context
  • Inconsistent coding across different providers

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the patient's history, frequency of sneezing, and any associated symptoms such as nasal congestion or discharge.

Common Clinical Scenarios

Patients presenting with allergic rhinitis or upper respiratory infections.

Billing Considerations

Consideration of comorbid conditions such as asthma or chronic sinusitis that may exacerbate sneezing.

Emergency Medicine

Documentation Requirements

Acute care documentation should detail the onset of sneezing, any acute allergic reactions, and associated symptoms like wheezing or difficulty breathing.

Common Clinical Scenarios

Patients with acute allergic reactions or respiratory distress.

Billing Considerations

Rapid assessment of potential anaphylaxis in cases of severe allergic reactions.

Coding Guidelines

Inclusion Criteria

Use R06.7 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that sneezing is documented as a symptom and not as a standalone diagnosis unless specified by the provider

Exclusion Criteria

Do NOT use R06.7 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

When a patient presents with sneezing and other respiratory symptoms for evaluation.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Internal medicine providers should focus on chronic conditions that may contribute to sneezing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like sneezing, improving the ability to capture the clinical picture and associated conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like sneezing, improving the ability to capture the clinical picture and associated conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like sneezing, improving the ability to capture the clinical picture and associated conditions.

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 R06.7 be used?

R06.7 should be used when sneezing is documented as a symptom without a more specific diagnosis. It is important to ensure that the clinical context supports its use.