ICD-10-CM Codes
J00-J99 Diseases of the respiratory system
J40-J47 Chronic lower respiratory diseases
J44- Other chronic obstructive pulmonary disease

2018/2019 ICD-10-CM Diagnosis Code J44

Other chronic obstructive pulmonary disease

2016

2017

2018

2019

Non-Billable/Non-Specific Code

J44 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2018/2019 edition of ICD-10-CM J44 became effective on October 1, 2018.
This is the American ICD-10-CM version of J44 - other international versions of ICD-10 J44 may differ.

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)
Applicable To
- Exposure to second hand tobacco smoke (acute) (chronic)
- Passive smoking (acute) (chronic)
Type 1 Excludes
- nicotine dependence (F17.-)
- tobacco use (Z72.0)
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
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
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
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
    - J45.90 Unspecified asthma
      J45.901 …… with (acute) exacerbation
      J45.902 …… with status asthmaticus
      J45.909 …… uncomplicated
    - J45.99 Other asthma
      J45.990 Exercise induced bronchospasm
      J45.991 Cough variant asthma
      J45.998 Other 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
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
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
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

The following code(s) above J44 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 J44:

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
- cystic fibrosis (E84.-)
Chronic lower respiratory diseases

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 J44:

Code Also: I21.A1

ICD-10-CM Diagnosis Code I21.A1
Myocardial infarction type 2
Applicable To
- Myocardial infarction due to demand ischemia
- Myocardial infarction secondary to ischemic imbalance
Code Also
- the underlying cause, if known and applicable, such as:
- anemia (D50.0-D64.9)
- chronic obstructive pulmonary disease (J44.-)
- heart failure (I50.-)
- paroxysmal tachycardia (I47.0-I47.9)
- renal failure (N17.0-N19)
- shock (R57.0-R57.9)
Type 1 Excludes: J21.9
, J41
, J42
, J42
, J42
, J43
, J43

ICD-10-CM Diagnosis Code J21.9
Acute bronchiolitis, unspecified
Applicable To
- Bronchiolitis (acute)
Type 1 Excludes
- chronic bronchiolitis (J44.-)
ICD-10-CM Diagnosis Code J41
Simple and mucopurulent chronic bronchitis
Type 1 Excludes
- chronic bronchitis NOS (J42)
- chronic obstructive bronchitis (J44.-)
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)
ICD-10-CM Diagnosis Code J42
Unspecified chronic bronchitis
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)
ICD-10-CM Diagnosis Code J42
Unspecified chronic bronchitis
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)
ICD-10-CM Diagnosis Code J42
Unspecified chronic bronchitis
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)
ICD-10-CM Diagnosis Code J43
Emphysema
Type 1 Excludes
- compensatory emphysema (J98.3)
- emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
- emphysema with chronic (obstructive) bronchitis (J44.-)
- emphysematous (obstructive) bronchitis (J44.-)
- interstitial emphysema (J98.2)
- mediastinal emphysema (J98.2)
- neonatal interstitial emphysema (P25.0)
- surgical (subcutaneous) emphysema (T81.82)
- traumatic subcutaneous emphysema (T79.7)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
ICD-10-CM Diagnosis Code J43
Emphysema
Type 1 Excludes
- compensatory emphysema (J98.3)
- emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
- emphysema with chronic (obstructive) bronchitis (J44.-)
- emphysematous (obstructive) bronchitis (J44.-)
- interstitial emphysema (J98.2)
- mediastinal emphysema (J98.2)
- neonatal interstitial emphysema (P25.0)
- surgical (subcutaneous) emphysema (T81.82)
- traumatic subcutaneous emphysema (T79.7)
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Type 2 Excludes: J20
, J20

ICD-10-CM Diagnosis Code J20
Acute bronchitis
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
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 Codes Adjacent To J44

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

J43.9 Emphysema, unspecified

J44 Other chronic obstructive pulmonary disease

J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection

J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation

J44.9 Chronic obstructive pulmonary disease, unspecified

J45 Asthma

J45.2 Mild intermittent asthma

J45.20 …… uncomplicated

J45.21 …… with (acute) exacerbation

J45.22 …… with status asthmaticus

J45.3 Mild persistent asthma

J45.30 …… uncomplicated

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

2018/2019 ICD-10-CM Diagnosis Code J44

Other chronic obstructive pulmonary disease

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

Personal history of nicotine dependence

Occupational exposure to environmental tobacco smoke

Tobacco use

Unspecified chronic bronchitis

Unspecified chronic bronchitis

Unspecified chronic bronchitis

Diseases of the respiratory system

Chronic lower respiratory diseases

Myocardial infarction type 2

Acute bronchiolitis, unspecified

Simple and mucopurulent chronic bronchitis

Unspecified chronic bronchitis

Unspecified chronic bronchitis

Unspecified chronic bronchitis

Emphysema

Emphysema

Acute bronchitis

Acute bronchitis