ICD-10 Coding for Hyperventilation(R06.4, F45.8)
Complete ICD-10-CM coding and documentation guide for Hyperventilation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperventilation
R06-R09Primary Range
Symptoms and signs involving the circulatory and respiratory systems
This range includes codes for various respiratory symptoms, including hyperventilation.
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
Includes psychogenic hyperventilation, which is excluded from R06.4.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R06.4 | Hyperventilation | Use when hyperventilation is the primary symptom without an identified underlying cause. |
|
| F45.8 | Other somatoform disorders | Use when hyperventilation is due to psychological factors. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hyperventilation
Essential facts and insights about Hyperventilation
Primary ICD-10-CM Codes for hyperventilation
Decision Criteria
clinical Criteria
- Presence of tachypnea and ABG results indicating respiratory alkalosis.
coding Criteria
- Exclude psychogenic causes before using R06.4.
Applicable To
- Non-psychogenic hyperventilation
Excludes
- Psychogenic hyperventilation (F45.8)
Clinical Validation Requirements
- Tachypnea (>20 breaths/min)
- ABG results: pH >7.45, PaCO2 <35 mmHg
- Symptoms: Lightheadedness, chest tightness, carpopedal spasms
Code-Specific Risks
- Incorrectly using R06.4 for psychogenic hyperventilation.
Coding Notes
- Ensure ABG results are documented to support the diagnosis.
F45.8 - Other somatoform disorders
Use when hyperventilation is due to psychological factors.
Applicable To
- Psychogenic hyperventilation
Clinical Validation Requirements
- History of anxiety or stress-related events
- Absence of organic cause for hyperventilation
Coding Notes
Document psychological factors contributing to hyperventilation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Respiratory failure
J96.xxDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperventilation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R06.4.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always assess and document potential causes.
Impact
Reimbursement: Incorrect DRG assignment may occur., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F45.8 for psychogenic causes.
Impact
Using R06.4 for psychogenic hyperventilation.
Mitigation Strategy
Ensure proper differentiation between psychogenic and non-psychogenic causes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hyperventilation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperventilation
Use these documentation templates to ensure complete and accurate documentation for Hyperventilation. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Chief complaint
- History of present illness
- Physical exam findings
- Laboratory results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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