Chronic lower respiratory diseases (J40-J4A)
J40Bronchitis, not specified as acute or chronic
› Bronchitis NOS
› Bronchitis with tracheitis NOS
› Catarrhal bronchitis
› Tracheobronchitis NOS
Use Additional Code: 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)
Excludes 1: acute bronchitis (J20.-)
› allergic bronchitis NOS (J45.909-)
› asthmatic bronchitis NOS (J45.9-)
› bronchitis due to chemicals, gases, fumes and vapors (J68.0)
J41Simple and mucopurulent chronic bronchitis
Use Additional Code: 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)
Excludes 2: chronic bronchitis NOS (J42)
› chronic obstructive bronchitis (J44.-)
J41.0Simple chronic bronchitis
J41.1Mucopurulent chronic bronchitis
J41.8Mixed simple and mucopurulent chronic bronchitis
J42Unspecified chronic bronchitis
› Chronic bronchitis NOS
› Chronic tracheitis
› Chronic tracheobronchitis
Use Additional Code: 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)
Excludes 1: 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.-)
J43Emphysema
Excludes 1: 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)
Excludes 2: emphysema with chronic (obstructive) bronchitis (J44.-)
› emphysematous (obstructive) bronchitis (J44.-)
› traumatic subcutaneous emphysema (T79.7)
J43.0Unilateral pulmonary emphysema [MacLeod's syndrome]
› Swyer-James syndrome
› Unilateral emphysema
› Unilateral hyperlucent lung
› Unilateral pulmonary artery functional hypoplasia
› Unilateral transparency of lung
J43.1Panlobular emphysema
› Panacinar emphysema
J43.2Centrilobular emphysema
J43.8Other emphysema
J43.9Emphysema, unspecified
› Bullous emphysema (lung)(pulmonary)
› Emphysema (lung)(pulmonary) NOS
› Emphysematous bleb
› Vesicular emphysema (lung)(pulmonary)
J44Other 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
Code Also: type of asthma, if applicable (J45.-)
Excludes 1: chronic bronchitis NOS (J42)
› chronic simple and mucopurulent bronchitis (J41.-)
› chronic tracheitis (J42)
› chronic tracheobronchitis (J42)
Excludes 2: bronchiectasis (J47.-)
› emphysema without chronic bronchitis (J43.-)
J44.0Chronic obstructive pulmonary disease with (acute) lower respiratory infection
Code Also: to identify the infection
J44.1Chronic obstructive pulmonary disease with (acute) exacerbation
› Decompensated COPD
› Decompensated COPD with (acute) exacerbation
Excludes 2: chronic obstructive pulmonary disease [COPD] with acute bronchitis (J44.0)
› lung diseases due to external agents (J60-J70)
J44.8Other specified chronic obstructive pulmonary disease
J44.81Bronchiolitis obliterans and bronchiolitis obliterans syndrome
› Obliterative bronchiolitis
Code First: , 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)
Code Also: , 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)
J44.89Other specified chronic obstructive pulmonary disease
› Chronic asthmatic (obstructive) bronchitis
› Chronic emphysematous bronchitis
J44.9Chronic obstructive pulmonary disease, unspecified
› Chronic obstructive airway disease NOS
› Chronic obstructive lung disease NOS
Excludes 2: lung diseases due to external agents (J60-J70)
J4AChronic lung allograft dysfunction
Code First: , 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)
Code Also: , if applicable, bronchiolitis obliterans syndrome (J44.81)
J4A.0Restrictive allograft syndrome
Code Also: , if applicable, for mixed chronic lung allograft dysfunction, bronchiolitis obliterans syndrome (J44.81)
J4A.8Other chronic lung allograft dysfunction
J4A.9Chronic lung allograft dysfunction, unspecified
J45Asthma
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
Use Additional Code: 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)
Excludes 1: detergent asthma (J69.8)
› miner's asthma (J60)
› wheezing NOS (R06.2)
› wood asthma (J67.8)
Excludes 2: asthma with chronic obstructive pulmonary disease (J44.9)
› chronic asthmatic (obstructive) bronchitis (J44.9)
› chronic obstructive asthma (J44.9)
J45.2Mild intermittent asthma
J45.20Mild intermittent asthma, uncomplicated
› Mild intermittent asthma NOS
J45.21Mild intermittent asthma with (acute) exacerbation
J45.22Mild intermittent asthma with status asthmaticus
J45.3Mild persistent asthma
J45.30Mild persistent asthma, uncomplicated
› Mild persistent asthma NOS
J45.31Mild persistent asthma with (acute) exacerbation
J45.32Mild persistent asthma with status asthmaticus
J45.4Moderate persistent asthma
J45.40Moderate persistent asthma, uncomplicated
› Moderate persistent asthma NOS
J45.41Moderate persistent asthma with (acute) exacerbation
J45.42Moderate persistent asthma with status asthmaticus
J45.5Severe persistent asthma
J45.50Severe persistent asthma, uncomplicated
› Severe persistent asthma NOS
J45.51Severe persistent asthma with (acute) exacerbation
J45.52Severe persistent asthma with status asthmaticus
J45.9Other and unspecified asthma
J45.90Unspecified asthma
› Asthmatic bronchitis NOS
› Childhood asthma NOS
› Late onset asthma
J45.901Unspecified asthma with (acute) exacerbation
J45.902Unspecified asthma with status asthmaticus
J45.909Unspecified asthma, uncomplicated
› Asthma NOS
Excludes 2: lung diseases due to external agents (J60-J70)
J45.99Other asthma
J45.990Exercise induced bronchospasm
J45.991Cough variant asthma
J45.998Other asthma
J47Bronchiectasis
Includes: bronchiolectasis
Use Additional Code: 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)
Excludes 1: congenital bronchiectasis (Q33.4)
› tuberculous bronchiectasis (current disease) (A15.0)
J47.0Bronchiectasis with acute lower respiratory infection
› Bronchiectasis with acute bronchitis
Code Also: to identify infection, if applicable
J47.1Bronchiectasis with (acute) exacerbation
J47.9Bronchiectasis, uncomplicated
› Bronchiectasis NOS