2022 ICD-10-CM Diagnosis Code R05.4

Cough syncope

    2022 - New Code Billable/Specific Code
  • R05.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • ICD-10-CM R05.4 is a new 2022 ICD-10-CM code that became effective on October 1, 2021.
  • This is the American ICD-10-CM version of R05.4 - other international versions of ICD-10 R05.4 may differ.
Code First
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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • syncope and collapse (
    ICD-10-CM Diagnosis Code R55

    Syncope and collapse

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    Applicable To
    • Blackout
    • Fainting
    • Vasovagal attack
    Type 1 Excludes
    • cardiogenic shock (R57.0)
    • carotid sinus syncope (G90.01)
    • heat syncope (T67.1)
    • neurocirculatory asthenia (F45.8)
    • neurogenic orthostatic hypotension (G90.3)
    • orthostatic hypotension (I95.1)
    • postprocedural shock (T81.1-)
    • psychogenic syncope (F48.8)
    • shock NOS (R57.9)
    • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • shock complicating or following labor and delivery (O75.1)
    • Stokes-Adams attack (I45.9)
    • unconsciousness NOS (R40.2-)
    R55
    )
The following code(s) above R05.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R05.4:
  • R00-R99
    2022 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R05
    ICD-10-CM Diagnosis Code R05

    Cough

      2022 - Converted to Parent Code Non-Billable/Non-Specific Code
    Type 1 Excludes
    • paroxysmal cough due to Bordetella pertussis (A37.0-)
    • smoker's cough (J41.0)
    Type 2 Excludes
    • cough with hemorrhage (R04.2)
    Cough
ICD-10-CM R05.4 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
  • 204 Respiratory signs and symptoms
Code History
  • 2022 (effective 10/1/2021): New code

Diagnosis Index entries containing back-references to R05.4:
  • Cough (affected) (epidemic) (nervous) R05.9
    ICD-10-CM Diagnosis Code R05.9

    Cough, unspecified

      2022 - New Code Billable/Specific Code
    • syncope R05.4
  • Syncope (near) (pre-) R55
    ICD-10-CM Diagnosis Code R55

    Syncope and collapse

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    Applicable To
    • Blackout
    • Fainting
    • Vasovagal attack
    Type 1 Excludes
    • cardiogenic shock (R57.0)
    • carotid sinus syncope (G90.01)
    • heat syncope (T67.1)
    • neurocirculatory asthenia (F45.8)
    • neurogenic orthostatic hypotension (G90.3)
    • orthostatic hypotension (I95.1)
    • postprocedural shock (T81.1-)
    • psychogenic syncope (F48.8)
    • shock NOS (R57.9)
    • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • shock complicating or following labor and delivery (O75.1)
    • Stokes-Adams attack (I45.9)
    • unconsciousness NOS (R40.2-)
    • laryngeal R05.4
  • Vertigo R42
    ICD-10-CM Diagnosis Code R42

    Dizziness and giddiness

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    Applicable To
    • Light-headedness
    • Vertigo NOS
    Type 1 Excludes
    • vertiginous syndromes (H81.-)
    • vertigo from infrasound (T75.23)
    • laryngeal R05.4

ICD-10-CM Codes Adjacent To R05.4
R04.1 Hemorrhage from throat
R04.2 Hemoptysis
R04.8 Hemorrhage from other sites in respiratory passages
R04.81 Acute idiopathic pulmonary hemorrhage in infants
R04.89 Hemorrhage from other sites in respiratory passages
R04.9 Hemorrhage from respiratory passages, unspecified
R05 Cough
R05.1 Acute cough
R05.2 Subacute cough
R05.3 Chronic cough
R05.4 Cough syncope
R05.8 Other specified cough
R05.9 Cough, unspecified
R06 Abnormalities of breathing
R06.0 Dyspnea
R06.00 …… unspecified
R06.01 Orthopnea
R06.02 Shortness of breath
R06.03 Acute respiratory distress
R06.09 Other forms of dyspnea
R06.1 Stridor

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.