We make it easy to find the online medical coding solution with just the features you need! |Learn More >>
Pediatric Coding Alert
Print Friendly and PDF

Reader Question: Learn How to Code This RAD-ical Condition


- Published on Wed, Oct 25, 2017

Question: An adolescent patient just presented at our office with asthma-like symptoms: coughing, wheezing, and shortness of breath. Our pediatrician recorded a diagnosis of reactive airways dysfunction syndrome, or RADS. However, I cannot find an ICD-10-CM code to document this - the closest I can get in the index is reactive airways disease (RAD), but even that doesn't have a code. How should I go about reporting this?

North Dakota Subscriber

Answer: Neither RADS nor RAD (the term recognized in ICD-10-CM) are associated with a code. Instead, the entry for RAD in the ICD-10-CM index simply states, "see Asthma."

As ICD-10-CM explicitly links RAD with asthma, you can only look to the J45- (Asthma) codes to find your answer. This automatically rules out other possibilities, such as J98.01 (Acute bronchospasm) or J98.9 (Respiratory disorder, unspecified). So, J45.909 (Unspecified asthma, uncomplicated) is the best fit given the nature of the disease.

Coding alert: If your physician is reluctant to provide a diagnosis of asthma, you could possibly confer with her and see if a complaint- or symptom-based diagnosis is more appropriate. In that case, you could go ahead and use codes such as R06.2 (Wheezing) and R06.02 (Shortness of breath) instead.






Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*