Bronchiectasis H004

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/b/bronchiectasis-h004-j47

Last amended

Rulebase for bronchiectasis

<h5>Current RMA Instruments</h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2017/030.pdf&quot; target="_blank">Reasonable Hypothesis</a></address></td><td>30 of 2017</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2017/031.pdf&quot; target="_blank">Balance of Probabilities</a></address></td><td>31 of 2017</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="a7ec1250-3afd-45c8-bbe8-02706ba5a235" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding:</h5><ul><li>ICD-9-CM Codes: 494</li><li>ICD-10-AM Codes: J47</li></ul><h5>Breif description</h5><p>Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.</p><h5><b>Confirming the diagnosis</b></h5><p>The diagnosis is made based on the clinical and radiological findings.</p><p>The relevant medical specialist is a respiratory physician.</p><h5><b>Additional diagnoses covered by SOP</b></h5><ul><li>Bronchiolectasis</li><li>Traction bronchiectasis</li><li>Tuberculous bronchiectasis</li></ul><h5><b>Conditions not covered by SOP</b></h5><ul><li>Congenital bronchiectasis<span><font face="Times New Roman"><sup>#</sup></font></span>, ICD-9 code 748.61</li><li>Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders<span><font face="Times New Roman"><sup>#</sup></font></span>.</li></ul><p><sup><span><font face="Times New Roman"># </font></span></sup>non-SOP condition</p><h5>Clinical onset</h5><p>Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.</p><h5>Clinical worsening</h5><p>Bronchiectasis tends to have a progressive course with periodic exacerbations. </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis

Allergic bronchopulmonary aspergillosis

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/allergic-bronchopulmonary-aspergillosis

Aspiration pneumonitis

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/aspiration-pneumonitis

Bronchial obstruction

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/bronchial-obstruction

Collapse or fibrosis of the segment of the lung

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/collapse-or-fibrosis-segment-lung

Exposure to arsenic

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/exposure-arsenic

Gastro-oesophageal reflux disease

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/gastro-oesophageal-reflux-disease

Inability to obtain appropriate clinical management for bronchiectasis

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/inability-obtain-appropriate-clinical-management-bronchiectasis

Inhaling mustard gas

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/inhaling-mustard-gas

Inhaling toxic gases or fumes

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/inhaling-toxic-gases-or-fumes

Lung or heart-lung transplantation

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/lung-or-heart-lung-transplantation

Pneumonia

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/pneumonia

Pulmonary tuberculosis or non-tuberculous mycobacterial infection of the lung

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/pulmonary-tuberculosis-or-non-tuberculous-mycobacterial-infection-lung

Sarcoidosis of the lung

Current RMA Instruments
Reasonable Hypothesis
30 of 2017
Balance of Probabilities
31 of 2017
Changes from previous Instruments

ICD Coding:
  • ICD-9-CM Codes: 494
  • ICD-10-AM Codes: J47
Breif description

Bronchiectasis is a chronic lung disease in which the airways (bronchi and bronchioles) are damaged and enlarged.  It results from chronic inflammation and an inability to clear sputum.  It may affect a section of lung or be widespread.  It is assocaited with recurrent infections and gradual loss of lung function.

Confirming the diagnosis

The diagnosis is made based on the clinical and radiological findings.

The relevant medical specialist is a respiratory physician.

Additional diagnoses covered by SOP
  • Bronchiolectasis
  • Traction bronchiectasis
  • Tuberculous bronchiectasis
Conditions not covered by SOP
  • Congenital bronchiectasis#, ICD-9 code 748.61
  • Bronchiectasis associated with cystic fibrosis (ICD-9 code 277.0) or alpha-1-anti-trypsin deficiency (ICD-9 code 277.6) or other genetic disorders#.

# non-SOP condition

Clinical onset

Establishing the clinical onset may be difficult.  Bronchiectasis takes time to develop and there may be respiratroy symptoms prior to the development of the disease.  Backdating onset to before the first radiological evidence of the condition can be done, based on symptoms of chronic daily cough with production of mucopurulent and tenacious sputum.  Dyspnea (shortness of breath), hemoptysis (coughing blood), wheezing, and pleuritic chest pain can occur but are less specific to bronchiectasis.

Clinical worsening

Bronchiectasis tends to have a progressive course with periodic exacerbations. 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/bronchiectasis-h004-j47/rulebase-bronchiectasis/sarcoidosis-lung