J20.5

J20.5: Acute bronchitis due to respiratory syncytial virus

Billable / specific codeICD-10-CM

J20.5 is a billable, specific ICD-10-CM code for acute bronchitis due to respiratory syncytial virus. It is valid for submission on a claim.

Check J20.5 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Acute bronchitis due to RSV

Excludes1 inherited from the categories above J20.5

A category’s note binds every code beneath it.

Written on J20: Acute bronchitis

bronchitis NOS (J40)
tracheobronchitis NOS (J40)

Excludes2 inherited from the categories above J20.5

Not part of this code, but both may be coded when both are present.

Written on J20: Acute bronchitis

acute bronchitis with bronchiectasis (J47.0)
acute bronchitis with chronic obstructive asthma (J44.0)
acute bronchitis with chronic obstructive pulmonary disease (J44.0)
allergic bronchitis NOS (J45.909)
bronchitis due to chemicals, fumes and vapors (J68.0)
chronic bronchitis NOS (J42)
chronic mucopurulent bronchitis (J41.1)
chronic obstructive bronchitis (J44.-)
chronic obstructive tracheobronchitis (J44.-)
chronic simple bronchitis (J41.0)
chronic tracheobronchitis (J42)

Other codes that can never be billed with J20.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

J40Bronchitis, not specified as acute or chronic
J98.01Acute bronchospasm
B97.4Respiratory syncytial virus as the cause of diseases classified elsewhere

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J20.5 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Virus, viral›respiratory syncytial›bronchitis
Infection, infected, infective›virus, viral NOS›respiratory syncytial›bronchitis
Bronchitis›acute or subacute›due to›virus›respiratory syncytial(RSV)

Code history

Unchanged in every release from FY2024 to FY2027.