J20.3 — Acute bronchitis due to coxsackievirus
J20.3 is a billable, specific ICD-10-CM code for acute bronchitis due to coxsackievirus. It is valid for submission on a claim.
Risk adjustment
J20.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
J20.3 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A56730Billing and Coding: Respiratory Therapy and Oximetry Services
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
How J20.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J20.3.
- Bronchitis›acute or subacute›due to›virus›coxsackie
Related codes at this level
Codes that share J20. If J20.3 is not quite right, the correct code is usually one of these.
- J20.0Acute bronchitis due to Mycoplasma pneumoniae
- J20.1Acute bronchitis due to Hemophilus influenzae
- J20.2Acute bronchitis due to streptococcus
- J20.4Acute bronchitis due to parainfluenza virus
- J20.5Acute bronchitis due to respiratory syncytial virus
- J20.6Acute bronchitis due to rhinovirus
- J20.7Acute bronchitis due to echovirus
- J20.8Acute bronchitis due to other specified organisms
- J20.9Acute bronchitis, unspecified
Questions about J20.3
- Is J20.3 a billable ICD-10-CM code?
- Yes. J20.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J20.3 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Other acute lower respiratory infections (J20-J22).