Bronchiectasis with acute lower respiratory infection
ICD-10 J47.0 is a billable code used to indicate a diagnosis of bronchiectasis with acute lower respiratory infection.
Bronchiectasis with acute lower respiratory infection is characterized by the abnormal and permanent dilation of the bronchi, leading to impaired clearance of secretions and recurrent respiratory infections. Clinically, patients may present with a chronic productive cough, hemoptysis, and dyspnea, often exacerbated by acute infections. The anatomy involved includes the bronchi and bronchioles, which become inflamed and obstructed due to the accumulation of mucus and pathogens. Disease progression can lead to further lung damage, respiratory failure, and increased morbidity. Diagnostic considerations include imaging studies such as chest X-rays or CT scans, which reveal bronchial dilation and mucus plugging, as well as microbiological cultures to identify infectious agents. A thorough patient history and physical examination are essential to differentiate bronchiectasis from other respiratory conditions, such as chronic obstructive pulmonary disease (COPD) or asthma.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J47.0 specifically covers bronchiectasis that is complicated by an acute lower respiratory infection, which may include bacterial, viral, or fungal infections affecting the lungs.
J47.0 should be used when a patient with bronchiectasis presents with an acute lower respiratory infection, as indicated by clinical symptoms and diagnostic findings, differentiating it from J47.1 which does not involve acute infection.
Documentation should include a detailed history of the patient's respiratory symptoms, results from imaging studies showing bronchiectasis, and microbiological evidence of the acute infection, along with treatment plans.
