Other chronic obstructive pulmonary disease J44- >

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the 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.
  • code to identify:
  • exposure to environmental tobacco smoke (
    ICD-10-CM Diagnosis Code Z77.22

    Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Exposure to second hand tobacco smoke (acute) (chronic)
    • Passive smoking (acute) (chronic)
    Type 1 Excludes
    Type 2 Excludes
    • occupational exposure to environmental tobacco smoke (Z57.31)
    Z77.22
    )
  • history of tobacco dependence (
    ICD-10-CM Diagnosis Code Z87.891

    Personal history of nicotine dependence

      2016 2017 2018 Billable/Specific Code POA Exempt
    Type 1 Excludes
    • current nicotine dependence (F17.2-)
    Z87.891
    )
  • occupational exposure to environmental tobacco smoke (
    ICD-10-CM Diagnosis Code Z57.31

    Occupational exposure to environmental tobacco smoke

      2016 2017 2018 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • exposure to environmental tobacco smoke (Z77.22)
    Z57.31
    )
  • tobacco dependence (
    ICD-10-CM Diagnosis Code F17
    • F17 Nicotine dependence
      • F17.2 Nicotine dependence
        • F17.20 Nicotine dependence, unspecified
          • F17.200 Nicotine dependence, unspecified, uncomplicat...
          • F17.201 Nicotine dependence, unspecified, in remissio...
          • F17.203 Nicotine dependence unspecified, with withdra...
          • F17.208 Nicotine dependence, unspecified, with other ...
          • F17.209 Nicotine dependence, unspecified, with unspec...
        • F17.21 Nicotine dependence, cigarettes
          • F17.210 Nicotine dependence, cigarettes, uncomplicate...
          • F17.211 Nicotine dependence, cigarettes, in remission...
          • F17.213 Nicotine dependence, cigarettes, with withdra...
          • F17.218 Nicotine dependence, cigarettes, with other n...
          • F17.219 Nicotine dependence, cigarettes, with unspeci...
        • F17.22 Nicotine dependence, chewing tobacco
          • F17.220 Nicotine dependence, chewing tobacco, uncompl...
          • F17.221 Nicotine dependence, chewing tobacco, in remi...
          • F17.223 Nicotine dependence, chewing tobacco, with wi...
          • F17.228 Nicotine dependence, chewing tobacco, with ot...
          • F17.229 Nicotine dependence, chewing tobacco, with un...
        • F17.29 Nicotine dependence, other tobacco product
          • F17.290 Nicotine dependence, other tobacco product, u...
          • F17.291 Nicotine dependence, other tobacco product, i...
          • F17.293 Nicotine dependence, other tobacco product, w...
          • F17.298 Nicotine dependence, other tobacco product, w...
          • F17.299 Nicotine dependence, other tobacco product, w...
    F17.-
    )
  • tobacco use (
    ICD-10-CM Diagnosis Code Z72.0

    Tobacco use

      2016 2017 2018 Billable/Specific Code POA Exempt
    Applicable To
    • Tobacco use NOS
    Type 1 Excludes
    • history of tobacco dependence (Z87.891)
    • nicotine dependence (F17.2-)
    • tobacco dependence (F17.2-)
    • tobacco use during pregnancy (O99.33-)
    Z72.0
    )
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • type of asthma, if applicable (
    ICD-10-CM Diagnosis Code J45
    • J45 Asthma
      • J45.2 Mild intermittent asthma
        • J45.20 …… uncomplicated
        • J45.21 Mild intermittent asthma with (acute) exacerb...
        • J45.22 Mild intermittent asthma with status asthmati...
      • J45.3 Mild persistent asthma
        • J45.30 …… uncomplicated
        • J45.31 Mild persistent asthma with (acute) exacerbat...
        • J45.32 Mild persistent asthma with status asthmaticu...
      • J45.4 Moderate persistent asthma
        • J45.40 …… uncomplicated
        • J45.41 Moderate persistent asthma with (acute) exace...
        • J45.42 Moderate persistent asthma with status asthma...
      • J45.5 Severe persistent asthma
        • J45.50 …… uncomplicated
        • J45.51 Severe persistent asthma with (acute) exacerb...
        • J45.52 Severe persistent asthma with status asthmati...
      • J45.9 Other and unspecified asthma
    J45.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J44. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • bronchiectasis (
    ICD-10-CM Diagnosis Code J47
    • J47 Bronchiectasis
      • J47.0 Bronchiectasis with acute lower respiratory i...
      • J47.1 Bronchiectasis with (acute) exacerbation
      • J47.9 Bronchiectasis, uncomplicated
    J47.-
    )
  • chronic bronchitis NOS (
    ICD-10-CM Diagnosis Code J42

    Unspecified chronic bronchitis

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Chronic bronchitis NOS
    • Chronic tracheitis
    • Chronic tracheobronchitis
    Type 1 Excludes
    • 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.-)
    Use Additional
    • 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)
    J42
    )
  • chronic simple and mucopurulent bronchitis (
    ICD-10-CM Diagnosis Code J41
    • J41 Simple and mucopurulent chronic bronchitis
      • J41.0 Simple chronic bronchitis
      • J41.1 Mucopurulent chronic bronchitis
      • J41.8 Mixed simple and mucopurulent chronic bronchi...
    J41.-
    )
  • chronic tracheitis (
    ICD-10-CM Diagnosis Code J42

    Unspecified chronic bronchitis

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Chronic bronchitis NOS
    • Chronic tracheitis
    • Chronic tracheobronchitis
    Type 1 Excludes
    • 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.-)
    Use Additional
    • 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)
    J42
    )
  • chronic tracheobronchitis (
    ICD-10-CM Diagnosis Code J42

    Unspecified chronic bronchitis

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Chronic bronchitis NOS
    • Chronic tracheitis
    • Chronic tracheobronchitis
    Type 1 Excludes
    • 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.-)
    Use Additional
    • 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)
    J42
    )
  • emphysema without chronic bronchitis (
    ICD-10-CM Diagnosis Code J43
    • J43 Emphysema
      • J43.0 Unilateral pulmonary emphysema [MacLeod's syn...
      • J43.1 Panlobular emphysema
      • J43.2 Centrilobular emphysema
      • J43.8 Other emphysema
      • J43.9 Emphysema, unspecified
    J43.-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • asthma with chronic obstructive pulmonary disease
  • chronic asthmatic (obstructive) bronchitis
  • chronic bronchitis with airways obstruction
  • chronic bronchitis with emphysema
  • chronic emphysematous bronchitis
  • chronic obstructive asthma
  • chronic obstructive bronchitis
  • chronic obstructive tracheobronchitis
Codes