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v1.0.0
ICD-10 Guide
ICD-10 CodesR43.9

R43.9

Unspecified disturbances of smell and taste

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

Code Description

ICD-10 R43.9 is a billable code used to indicate a diagnosis of unspecified disturbances of smell and taste.

Key Diagnostic Point:

R43.9 refers to unspecified disturbances of smell and taste, which can manifest as a reduced ability to detect odors (hyposmia), complete loss of smell (anosmia), altered taste perception (dysgeusia), or loss of taste (ageusia). These disturbances can arise from various underlying conditions, including viral infections (such as COVID-19), neurological disorders (like Parkinson's disease), head trauma, or exposure to certain medications. The symptoms may present as a gradual decline or sudden onset, often affecting the quality of life and nutritional intake of the patient. Clinical evaluation typically involves a thorough history and physical examination, with additional tests such as olfactory testing or imaging studies if indicated. The lack of specificity in this code necessitates careful documentation to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and patient reports
  • Overlap with other conditions affecting taste and smell
  • Need for comprehensive patient history
  • Potential for multiple underlying causes

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Failure to specify underlying causes
  • Inconsistent coding with clinical findings
  • Use of unspecified codes without justification

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including onset, duration, and associated symptoms.

Common Clinical Scenarios

Patients presenting with complaints of altered taste or smell following a viral infection.

Billing Considerations

Consider documenting any relevant comorbidities that may contribute to the disturbance.

Emergency Medicine

Documentation Requirements

Acute care documentation must include a rapid assessment of the patient's neurological status.

Common Clinical Scenarios

Patients presenting with sudden loss of smell or taste after head trauma.

Billing Considerations

Document any acute interventions or referrals to specialists.

Coding Guidelines

Inclusion Criteria

Use R43.9 When
  • Coders should refer to the official ICD
  • CM guidelines, ensuring that the code is used only when the disturbance is not specified elsewhere
  • Documentation must support the diagnosis and any related conditions

Exclusion Criteria

Do NOT use R43.9 When
No specific exclusions found.

Related CPT Codes

92587CPT Code

Olfactory function tests

Clinical Scenario

Used when assessing patients with smell disturbances.

Documentation Requirements

Document the reason for the test and the patient's symptoms.

Specialty Considerations

Otolaryngology may frequently use this code.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of disturbances of smell and taste, but it has also introduced complexity in distinguishing between various types of disturbances.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of disturbances of smell and taste, but it has also introduced complexity in distinguishing between various types of disturbances.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of disturbances of smell and taste, but it has also introduced complexity in distinguishing between various types of disturbances.

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 should I document to support the use of R43.9?

Document the patient's symptoms, duration, any relevant medical history, and any tests performed to evaluate the disturbance.