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R09.89
ICD-10-CM
Rhonchi

Understand rhonchi diagnosis, clinical significance, and medical coding. Find information on rhonchi sounds, auscultation, treatment, documentation, ICD-10 codes, differential diagnosis, and associated conditions like COPD and bronchitis. Learn about rhonchi vs. wheezing, breath sounds, respiratory assessment, and best practices for healthcare professionals. Explore resources for accurate clinical documentation and coding related to rhonchi.

Also known as

Sonorous wheezes
Low-pitched wheezes

Diagnosis Snapshot

Key Facts
  • Definition : Coarse rattling breath sounds, usually caused by secretions in larger airways.
  • Clinical Signs : Cough, wheezing, shortness of breath, chest congestion, noisy breathing.
  • Common Settings : Bronchitis, pneumonia, COPD, asthma, respiratory infections.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R09.89 Coding
R09.2

Other abnormal respiratory sounds

Rhonchi are classified under other abnormal respiratory sounds.

J98.1

Other disorders of lung

Rhonchi may be present in various lung disorders.

R01.2

Wheezing

Rhonchi can sometimes be associated with wheezing.

J40-J47

Chronic lower respiratory diseases

Rhonchi can be a symptom in some chronic lower respiratory diseases.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Are rhonchi present?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Rhonchi: Rattling lung sounds
Wheezes: Whistling lung sounds
Stridor: Harsh, high-pitched breath sound

Documentation Best Practices

Documentation Checklist
  • Rhonchi lung sounds documentation
  • Rhonchi ICD-10 code R09.2
  • Location of rhonchi (e.g., bilateral lower lobes)
  • Timing of rhonchi (e.g., inspiratory, expiratory)
  • Character of rhonchi (e.g., coarse, sibilant, sonorous)

Coding and Audit Risks

Common Risks
  • Unspecified Rhonchi Code

    Using unspecified rhonchi codes (e.g., R06.2) when more specific diagnoses are available, leading to inaccurate clinical documentation and reimbursement.

  • Rhonchi vs. Crackles

    Miscoding rhonchi (R06.2) and crackles (R06.0) due to similar clinical presentations, impacting data quality and respiratory disease tracking.

  • Lack of Laterality Documentation

    Insufficient documentation of rhonchi laterality (left, right, bilateral), hindering accurate severity assessment and care planning.

Mitigation Tips

Best Practices
  • Hydration: Encourage fluid intake to thin secretions.
  • Airway clearance: Assist with coughing, deep breathing.
  • Humidification: Use a humidifier to moisten airways.
  • Medications: Bronchodilators or mucolytics as prescribed.
  • Positional changes: Elevate head to facilitate drainage.

Clinical Decision Support

Checklist
  • Confirm low-pitched, snore-like lung sounds during auscultation.
  • Document rhonchi location and timing (e.g., inspiratory, expiratory).
  • Consider COPD, bronchiectasis, pneumonia in differential diagnosis.
  • Review patient history for smoking, airway infections, mucus production.

Reimbursement and Quality Metrics

Impact Summary
  • Rhonchi reimbursement impacted by accurate ICD-10 diagnosis coding (R06.2) for optimal medical billing.
  • Rhonchi quality reporting affects hospital value-based purchasing scores and pay-for-performance programs.
  • Precise documentation of Rhonchi symptoms crucial for appropriate severity level assignment and reimbursement.
  • Timely Rhonchi diagnosis and treatment improve patient outcomes and reduce hospital readmission rates.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Rhonchi with ICD-10 R06.2
  • Document location and timing
  • Consider underlying cause, e.g., COPD
  • Don't code normal breath sounds
  • Rhonchi coding needs auscultation

Documentation Templates

Patient presents with complaints of noisy breathing, clinically documented as rhonchi.  Assessment reveals low-pitched, continuous, sonorous breath sounds, often described as snoring or rattling, primarily heard during expiration and suggestive of airway obstruction.  Differential diagnosis includes chronic bronchitis, bronchiectasis, pneumonia, and obstructive sleep apnea.  Rhonchi auscultation was performed, revealing secretions in the larger airways.  Patient denies shortness of breath or chest pain, but reports a productive cough with thick mucus.  Current medications include over-the-counter cough suppressant.  Plan includes increasing fluid intake, encouraging deep breathing exercises, and monitoring for changes in respiratory status.  Medical coding for this encounter may include ICD-10 code R06.2 (wheezing) or R09.2 (other abnormal respiratory sounds), depending on the specific presentation, along with relevant CPT codes for the evaluation and management services provided.  Patient education provided on pulmonary hygiene and the importance of follow-up care.