2019 ICD-10-CM Diagnosis Code J40

Bronchitis, not specified as acute or chronic

    2016 2017 2018 2019 Billable/Specific Code
  • J40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM J40 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of J40 - other international versions of ICD-10 J40 may differ.
Applicable To
  • Bronchitis NOS
  • Bronchitis with tracheitis NOS
  • Catarrhal bronchitis
  • Tracheobronchitis NOS
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 2019 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
    )
  • exposure to tobacco smoke in the perinatal period (
    ICD-10-CM Diagnosis Code P96.81

    Exposure to (parental) (environmental) tobacco smoke in the perinatal period

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Type 2 Excludes
    • newborn affected by in utero exposure to tobacco (P04.2)
    • exposure to environmental tobacco smoke after the perinatal period (Z77.22)
    P96.81
    )
  • history of tobacco dependence (
    ICD-10-CM Diagnosis Code Z87.891

    Personal history of nicotine dependence

      2016 2017 2018 2019 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 2019 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 2019 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
    )
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 J40. 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.
  • acute bronchitis (
    ICD-10-CM Diagnosis Code J20
    • J20 Acute bronchitis
      • J20.0 Acute bronchitis due to Mycoplasma pneumoniae...
      • J20.1 Acute bronchitis due to Hemophilus influenzae...
      • J20.2 Acute bronchitis due to streptococcus
      • J20.3 Acute bronchitis due to coxsackievirus
      • J20.4 Acute bronchitis due to parainfluenza virus
      • J20.5 Acute bronchitis due to respiratory syncytial...
      • J20.6 Acute bronchitis due to rhinovirus
      • J20.7 Acute bronchitis due to echovirus
      • J20.8 Acute bronchitis due to other specified organ...
      • J20.9 Acute bronchitis, unspecified
    J20.-
    )
  • allergic bronchitis NOS (
    ICD-10-CM Diagnosis Code J45.909

    Unspecified asthma, uncomplicated

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Asthma NOS
    Type 2 Excludes
    • lung diseases due to external agents (J60-J70)
    J45.909-
    )
  • asthmatic bronchitis NOS (
    ICD-10-CM Diagnosis Code J45.9

    Other and unspecified asthma

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    J45.9-
    )
  • bronchitis due to chemicals, gases, fumes and vapors (
    ICD-10-CM Diagnosis Code J68.0

    Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Chemical bronchitis (acute)
    J68.0
    )
The following code(s) above J40 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 J40:
  • J00-J99
    2019 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • smoke inhalation (T59.81-)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Use Additional
    • code, where applicable, 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)
    Diseases of the respiratory system
  • J40-J47
    2019 ICD-10-CM Range J40-J47

    Chronic lower respiratory diseases

    Type 1 Excludes
    • bronchitis due to chemicals, gases, fumes and vapors (J68.0)
    Type 2 Excludes
    Chronic lower respiratory diseases
Approximate Synonyms
  • Bronchitis
  • Chest cold
  • Laryngotracheobronchitis
  • Tracheobronchitis
Clinical Information
  • (bron-kye-tis) inflammation (swelling and reddening) of the bronchi.
  • A disorder characterized by an infectious process involving the bronchi.
  • An acute or chronic inflammatory process affecting the bronchi.
  • Inflammation (swelling and reddening) of the bronchi.
  • Inflammation of the large airways in the lung including any part of the bronchi, from the primary bronchi to the tertiary bronchi.
ICD-10-CM J40 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 202 Bronchitis and asthma with cc/mcc
  • 203 Bronchitis and asthma without cc/mcc

Convert J40 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to J40:
  • Type 1 Excludes: J20
    , J20
    ICD-10-CM Diagnosis Code J20

    Acute bronchitis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • acute and subacute bronchitis (with) bronchospasm
    • acute and subacute bronchitis (with) tracheitis
    • acute and subacute bronchitis (with) tracheobronchitis, acute
    • acute and subacute fibrinous bronchitis
    • acute and subacute membranous bronchitis
    • acute and subacute purulent bronchitis
    • acute and subacute septic bronchitis
    Type 1 Excludes
    • bronchitis NOS (J40)
    • tracheobronchitis NOS (J40)
    Type 2 Excludes
    • acute bronchitis with bronchiectasis (J47.0)
    • acute bronchitis with chronic obstructive asthma (J44.0)
    • acute bronchitis with chronic obstructive pulmonary disease (J44.0)
    • allergic bronchitis NOS (J45.909-)
    • bronchitis due to chemicals, fumes and vapors (J68.0)
    • chronic bronchitis NOS (J42)
    • chronic mucopurulent bronchitis (J41.1)
    • chronic obstructive bronchitis (J44.-)
    • chronic obstructive tracheobronchitis (J44.-)
    • chronic simple bronchitis (J41.0)
    • chronic tracheobronchitis (J42)
    ICD-10-CM Diagnosis Code J20

    Acute bronchitis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • acute and subacute bronchitis (with) bronchospasm
    • acute and subacute bronchitis (with) tracheitis
    • acute and subacute bronchitis (with) tracheobronchitis, acute
    • acute and subacute fibrinous bronchitis
    • acute and subacute membranous bronchitis
    • acute and subacute purulent bronchitis
    • acute and subacute septic bronchitis
    Type 1 Excludes
    • bronchitis NOS (J40)
    • tracheobronchitis NOS (J40)
    Type 2 Excludes
    • acute bronchitis with bronchiectasis (J47.0)
    • acute bronchitis with chronic obstructive asthma (J44.0)
    • acute bronchitis with chronic obstructive pulmonary disease (J44.0)
    • allergic bronchitis NOS (J45.909-)
    • bronchitis due to chemicals, fumes and vapors (J68.0)
    • chronic bronchitis NOS (J42)
    • chronic mucopurulent bronchitis (J41.1)
    • chronic obstructive bronchitis (J44.-)
    • chronic obstructive tracheobronchitis (J44.-)
    • chronic simple bronchitis (J41.0)
    • chronic tracheobronchitis (J42)

Diagnosis Index entries containing back-references to J40:
  • Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) J40
  • Tracheitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral) J04.10
    ICD-10-CM Diagnosis Code J04.10

    Acute tracheitis without obstruction

      2016 2017 2018 2019 Billable/Specific Code

ICD-10-CM Codes Adjacent To J40
J38.5 Laryngeal spasm
J38.6 Stenosis of larynx
J38.7 Other diseases of larynx
J39 Other diseases of upper respiratory tract
J39.0 Retropharyngeal and parapharyngeal abscess
J39.1 Other abscess of pharynx
J39.2 Other diseases of pharynx
J39.3 Upper respiratory tract hypersensitivity reaction, site unspecified
J39.8 Other specified diseases of upper respiratory tract
J39.9 Disease of upper respiratory tract, unspecified
J40 Bronchitis, not specified as acute or chronic
J41 Simple and mucopurulent chronic bronchitis
J41.0 Simple chronic bronchitis
J41.1 Mucopurulent chronic bronchitis
J41.8 Mixed simple and mucopurulent chronic bronchitis
J42 Unspecified chronic bronchitis
J43 Emphysema
J43.0 Unilateral pulmonary emphysema [MacLeod's syndrome]
J43.1 Panlobular emphysema
J43.2 Centrilobular emphysema
J43.8 Other emphysema

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