ICD-10-CM Book 2024 Edition

Chapters  /  Chapter 10  /  J40-J4A

Chronic lower respiratory diseases (J40-J4A)

Excludes1: bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Excludes2: cystic fibrosis (E84.-)
J40 Bronchitis, not specified as acute or chronic
Bronchitis NOS
Bronchitis with tracheitis NOS
Catarrhal bronchitis
Tracheobronchitis NOS
UseAdditionalCode code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes1 acute bronchitis (J20.-)
allergic bronchitis NOS (J45.909-)
asthmatic bronchitis NOS (J45.9-)
bronchitis due to chemicals, gases, fumes and vapors (J68.0)
J41 Simple and mucopurulent chronic bronchitis
UseAdditionalCode code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes2 chronic bronchitis NOS (J42)
chronic obstructive bronchitis (J44.-)
J41.0 Simple chronic bronchitis
J41.1 Mucopurulent chronic bronchitis
J41.8 Mixed simple and mucopurulent chronic bronchitis
J42 Unspecified chronic bronchitis
Chronic bronchitis NOS
Chronic tracheitis
Chronic tracheobronchitis
UseAdditionalCode code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes1 bronchiolitis obliterans and bronchiolitis obliterans syndrome (J44.81)
chronic asthmatic bronchitis (J44.-)
chronic bronchitis with airways obstruction (J44.-)
chronic emphysematous bronchitis (J44.-)
chronic obstructive pulmonary disease NOS (J44.9)
simple and mucopurulent chronic bronchitis (J41.-)
J43 Emphysema
Excludes1 compensatory emphysema (J98.3)
emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
interstitial emphysema (J98.2)
mediastinal emphysema (J98.2)
neonatal interstitial emphysema (P25.0)
surgical (subcutaneous) emphysema (T81.82)
Excludes2 emphysema with chronic (obstructive) bronchitis (J44.-)
emphysematous (obstructive) bronchitis (J44.-)
traumatic subcutaneous emphysema (T79.7)
J43.0 Unilateral pulmonary emphysema [MacLeod's syndrome]
Swyer-James syndrome
Unilateral emphysema
Unilateral hyperlucent lung
Unilateral pulmonary artery functional hypoplasia
Unilateral transparency of lung
J43.1 Panlobular emphysema
Panacinar emphysema
J43.2 Centrilobular emphysema
J43.8 Other emphysema
J43.9 Emphysema, unspecified
Bullous emphysema (lung)(pulmonary)
Emphysema (lung)(pulmonary) NOS
Emphysematous bleb
Vesicular emphysema (lung)(pulmonary)
J44 Other chronic obstructive pulmonary disease
Includes asthma with chronic obstructive pulmonary disease
chronic asthmatic (obstructive) bronchitis
chronic bronchitis with airway obstruction
chronic bronchitis with emphysema
chronic emphysematous bronchitis
chronic obstructive asthma
chronic obstructive bronchitis
chronic obstructive tracheobronchitis
CodeAlso type of asthma, if applicable (J45.-)
Excludes1 chronic bronchitis NOS (J42)
chronic simple and mucopurulent bronchitis (J41.-)
chronic tracheitis (J42)
chronic tracheobronchitis (J42)
Excludes2 bronchiectasis (J47.-)
emphysema without chronic bronchitis (J43.-)
J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection
CodeAlso to identify the infection
J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
Decompensated COPD
Decompensated COPD with (acute) exacerbation
Excludes2 chronic obstructive pulmonary disease [COPD] with acute bronchitis (J44.0)
lung diseases due to external agents (J60-J70)
J44.8 Other specified chronic obstructive pulmonary disease
J44.81 Bronchiolitis obliterans and bronchiolitis obliterans syndrome
Obliterative bronchiolitis
CodeFirst , if applicable:
complication of bone marrow transplant (T86.09)
complication of stem cell transplant (T86.5)
heart-lung transplant rejection (T86.31)
lung transplant rejection (T86.810)
other complications of heart-lung transplant (T86.39)
other complications of lung transplant (T86.818)
CodeAlso , if applicable, associated conditions, such as:
chronic graft-versus-host disease (D89.811)
chronic lung allograft dysfunction (J4A.-)
chronic respiratory conditions due to chemicals, gases, fumes and vapors (J68.4)
J44.89 Other specified chronic obstructive pulmonary disease
Chronic asthmatic (obstructive) bronchitis
Chronic emphysematous bronchitis
J44.9 Chronic obstructive pulmonary disease, unspecified
Chronic obstructive airway disease NOS
Chronic obstructive lung disease NOS
Excludes2 lung diseases due to external agents (J60-J70)
J4A Chronic lung allograft dysfunction
CodeFirst , if applicable:
heart-lung transplant rejection (T86.31)
lung transplant rejection (T86.810)
other complications of heart-lung transplant (T86.39)
other complications of lung transplant (T86.818)
CodeAlso , if applicable, bronchiolitis obliterans syndrome (J44.81)
J4A.0 Restrictive allograft syndrome
CodeAlso , if applicable, for mixed chronic lung allograft dysfunction, bronchiolitis obliterans syndrome (J44.81)
J4A.8 Other chronic lung allograft dysfunction
J4A.9 Chronic lung allograft dysfunction, unspecified
J45 Asthma
Includes allergic (predominantly) asthma
allergic bronchitis NOS
allergic rhinitis with asthma
atopic asthma
extrinsic allergic asthma
hay fever with asthma
idiosyncratic asthma
intrinsic nonallergic asthma
nonallergic asthma
UseAdditionalCode code to identify:
eosinophilic asthma (J82.83)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes1 detergent asthma (J69.8)
miner's asthma (J60)
wheezing NOS (R06.2)
wood asthma (J67.8)
Excludes2 asthma with chronic obstructive pulmonary disease (J44.9)
chronic asthmatic (obstructive) bronchitis (J44.9)
chronic obstructive asthma (J44.9)
J45.2 Mild intermittent asthma
J45.20 Mild intermittent asthma, uncomplicated
Mild intermittent asthma NOS
J45.21 Mild intermittent asthma with (acute) exacerbation
J45.22 Mild intermittent asthma with status asthmaticus
J45.3 Mild persistent asthma
J45.30 Mild persistent asthma, uncomplicated
Mild persistent asthma NOS
J45.31 Mild persistent asthma with (acute) exacerbation
J45.32 Mild persistent asthma with status asthmaticus
J45.4 Moderate persistent asthma
J45.40 Moderate persistent asthma, uncomplicated
Moderate persistent asthma NOS
J45.41 Moderate persistent asthma with (acute) exacerbation
J45.42 Moderate persistent asthma with status asthmaticus
J45.5 Severe persistent asthma
J45.50 Severe persistent asthma, uncomplicated
Severe persistent asthma NOS
J45.51 Severe persistent asthma with (acute) exacerbation
J45.52 Severe persistent asthma with status asthmaticus
J45.9 Other and unspecified asthma
J45.90 Unspecified asthma
Asthmatic bronchitis NOS
Childhood asthma NOS
Late onset asthma
J45.901 Unspecified asthma with (acute) exacerbation
J45.902 Unspecified asthma with status asthmaticus
J45.909 Unspecified asthma, uncomplicated
Asthma NOS
Excludes2 lung diseases due to external agents (J60-J70)
J45.99 Other asthma
J45.990 Exercise induced bronchospasm
J45.991 Cough variant asthma
J45.998 Other asthma
J47 Bronchiectasis
Includes bronchiolectasis
UseAdditionalCode code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes1 congenital bronchiectasis (Q33.4)
tuberculous bronchiectasis (current disease) (A15.0)
J47.0 Bronchiectasis with acute lower respiratory infection
Bronchiectasis with acute bronchitis
CodeAlso to identify infection, if applicable
J47.1 Bronchiectasis with (acute) exacerbation
J47.9 Bronchiectasis, uncomplicated
Bronchiectasis NOS