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ICD-10 Coding for Stridor(R06.1)

Complete ICD-10-CM coding and documentation guide for Stridor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Inspiratory StridorExpiratory StridorBiphasic Stridor

Related ICD-10 Code Ranges

Complete code families applicable to Stridor

R00-R09Primary Range

Symptoms and signs involving the circulatory and respiratory systems

This range includes codes for respiratory symptoms such as stridor.

Diseases of the respiratory system

This range includes conditions that may present with stridor as a symptom.

Key Information: ICD-10 code for stridor

Essential facts and insights about Stridor

The ICD-10 code for stridor is R06.1, used for unexplained stridor.

Primary ICD-10-CM Code for stridor

Stridor
Billable Code

Decision Criteria

clinical Criteria

  • Presence of high-pitched respiratory sound

coding Criteria

  • Stridor not part of a definitive diagnosis

documentation Criteria

  • Documentation of phase (inspiratory/expiratory)

Applicable To

  • Unexplained stridor

Excludes

  • Croup with stridor (J05.0)
  • Stridulous croup (J38.5)

Clinical Validation Requirements

  • High-pitched respiratory sound
  • Phase (inspiratory/expiratory)

Code-Specific Risks

  • Risk of incorrect coding if stridor is part of a specific condition like croup.

Coding Notes

  • Ensure documentation specifies the phase of stridor and associated symptoms.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Laryngeal spasm

J38.5
Use for stridulous croup or stridor with laryngospasm.

Acute obstructive laryngitis

J05.0
Use for croup with stridor.

Airway foreign body

T17.9XXA
Use for stridor secondary to aspirated object.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Unspecified asthma

J45.901
Use for wheezing misdocumented as stridor.

Obstructive sleep apnea

G47.33
Use for stertor, not stridor.

Cough

R05
Use if documentation confuses cough sounds with stridor.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Stridor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R06.1.

Impact

Clinical: May lead to misdiagnosis or incomplete treatment., Regulatory: Could result in coding audits., Financial: Affects reimbursement accuracy.

Mitigation Strategy

Use structured templates for documentation., Ensure thorough clinical assessment.

Impact

Reimbursement: Incorrect coding can lead to improper DRG assignment., Compliance: May result in coding audits and compliance issues., Data Quality: Affects the accuracy of clinical data.

Mitigation Strategy

Use J05.0 for croup with stridor.

Impact

Using R06.1 when stridor is part of a specific condition.

Mitigation Strategy

Educate coders on correct code usage and documentation requirements.

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 Stridor, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Stridor

Use these documentation templates to ensure complete and accurate documentation for Stridor. These templates include all required elements for proper coding and billing.

Emergency Department Visit for Stridor

Specialty: Emergency Medicine

Required Elements

  • Phase of stridor
  • Associated symptoms
  • Diagnostic results

Example Documentation

Inspiratory stridor noted at rest, SpO2 92% on room air. Lateral neck X-ray shows steeple sign. Positive response to racemic epinephrine.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has stridor.
Good Documentation Example
Inspiratory stridor noted at rest, SpO2 92% on room air. Lateral neck X-ray shows steeple sign.
Explanation
The good example provides specific details and diagnostic evidence.

Need help with ICD-10 coding for Stridor? Ask your questions below.

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