ICD-10 Coding for Mucus Plugging(T17.290A, R09.3)
Complete ICD-10-CM coding and documentation guide for Mucus Plugging. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mucus Plugging
T17.0-T17.9Primary Range
Foreign body in respiratory tract
Used when mucus plug causes airway obstruction or requires intervention.
Other symptoms and signs involving the circulatory and respiratory systems
Used for non-obstructive mucus hypersecretion without intervention.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T17.290A | Foreign body in bronchus causing obstruction, initial encounter | Use when a mucus plug causes airway obstruction and requires intervention. |
|
| R09.3 | Abnormal respiratory secretions | Use for non-obstructive mucus hypersecretion without intervention. |
|
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 mucus plugging
Essential facts and insights about Mucus Plugging
Primary ICD-10-CM Codes for mucus plugging
Decision Criteria
clinical Criteria
- Documented airway obstruction by mucus plug
coding Criteria
- Use T17.290A with evidence of intervention
Applicable To
- Mucus plug in bronchus causing obstruction
Excludes
- Non-obstructive mucus secretion (R09.3)
Clinical Validation Requirements
- Imaging confirmation of obstruction
- Clinical documentation of intervention
Code-Specific Risks
- Incorrectly coding without evidence of obstruction
Coding Notes
- Ensure documentation specifies obstruction and intervention.
R09.3 - Abnormal respiratory secretions
Use for non-obstructive mucus hypersecretion without intervention.
Applicable To
- Non-obstructive mucus hypersecretion
Excludes
- Obstructive mucus plug (T17.290A)
Clinical Validation Requirements
- Documentation of frequent suctioning without obstruction
Coding Notes
Ensure documentation does not imply obstruction.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mucus Plugging to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T17.290A.
Impact
Clinical: Leads to under-treatment documentation., Regulatory: Non-compliance with coding guidelines., Financial: Potential loss of reimbursement.
Mitigation Strategy
Ensure all interventions are documented., Cross-check imaging and procedure notes.
Impact
Reimbursement: Incorrect DRG assignment leading to financial discrepancies., Compliance: Potential audit issues due to incorrect coding., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify documentation for evidence of obstruction and intervention.
Impact
Risk of audits due to improper classification of mucus plugging.
Mitigation Strategy
Ensure thorough documentation of obstruction and interventions.
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 Mucus Plugging, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mucus Plugging
Use these documentation templates to ensure complete and accurate documentation for Mucus Plugging. These templates include all required elements for proper coding and billing.
Mucus plug causing airway obstruction
Specialty: PulmonologyRequired Elements
- Imaging confirmation
- Intervention details
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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