ICD-10-CM Codes
J00-J99
J40-J47
J44-
2023 ICD-10-CM Diagnosis Code J44.0

2023 ICD-10-CM Diagnosis Code J44.0

Chronic obstructive pulmonary disease with (acute) lower respiratory infection

2016

2017

2018

2019

2020 - Revised Code

2021

2022

2023

Billable/Specific Code

J44.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Short description: Chr obstructive pulmon disease with (acute) lower resp infct
The 2023 edition of ICD-10-CM J44.0 became effective on October 1, 2022.
This is the American ICD-10-CM version of J44.0 - other international versions of ICD-10 J44.0 may differ.

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.

to identify the infection

The following code(s) above J44.0 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 J44.0:

J00-J99
2023 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
2023 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
J44
ICD-10-CM Diagnosis Code J44
Other chronic obstructive pulmonary disease
Code Also
- type of asthma, if applicable (J45.-)
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
Type 1 Excludes
- bronchiectasis (J47.-)
- chronic bronchitis NOS (J42)
- chronic simple and mucopurulent bronchitis (J41.-)
- chronic tracheitis (J42)
- chronic tracheobronchitis (J42)
- emphysema without chronic bronchitis (J43.-)
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)
Other chronic obstructive pulmonary disease

Approximate Synonyms

Acute exacerbation of chronic bronchitis
Chronic bronchitis with acute exacerbation
Chronic obstructive bronchitis w acute bronchitis
Chronic obstructive lung disease with acute bronchitis
Emphysema (copd) with acute bronchitis

ICD-10-CM J44.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

190 Chronic obstructive pulmonary disease with mcc
191 Chronic obstructive pulmonary disease with cc
192 Chronic obstructive pulmonary disease without cc/mcc

Convert J44.0 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
2020 (effective 10/1/2019): Revised code
- New description: Chronic obstructive pulmonary disease with (acute) lower respiratory infection
- 2019 description: Chronic obstructive pulmonary disease with acute lower respiratory infection
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to J44.0:

Type 2 Excludes: J20
, J20
, J44.1

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 Diagnosis Code J44.1
Chronic obstructive pulmonary disease with (acute) exacerbation
Applicable To
- Decompensated COPD
- Decompensated COPD with (acute) exacerbation
Type 2 Excludes
- chronic obstructive pulmonary disease [COPD] with acute bronchitis (J44.0)
- lung diseases due to external agents (J60-J70)

Diagnosis Index entries containing back-references to J44.0:

Asthma, asthmatic (bronchial) (catarrh) (spasmodic) J45.909
ICD-10-CM Diagnosis Code J45.909
Unspecified asthma, uncomplicated
Applicable To
Asthma NOS
Type 2 Excludes
lung diseases due to external agents (J60-J70)
- with
  - chronic obstructive bronchitis J44.9
    ICD-10-CM Diagnosis Code J44.9
    Chronic obstructive pulmonary disease, unspecified
    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    Chronic obstructive airway disease NOS
    Chronic obstructive lung disease NOS
    Type 2 Excludes
    lung diseases due to external agents (J60-J70)
    - with
      - acute lower respiratory infection J44.0
  - chronic obstructive pulmonary disease J44.9
    ICD-10-CM Diagnosis Code J44.9
    Chronic obstructive pulmonary disease, unspecified
    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    Chronic obstructive airway disease NOS
    Chronic obstructive lung disease NOS
    Type 2 Excludes
    lung diseases due to external agents (J60-J70)
    - with
      - acute lower respiratory infection J44.0
- chronic obstructive J44.9
  ICD-10-CM Diagnosis Code J44.9
  Chronic obstructive pulmonary disease, unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  Applicable To
  Chronic obstructive airway disease NOS
  Chronic obstructive lung disease NOS
  Type 2 Excludes
  lung diseases due to external agents (J60-J70)
  - with
    - acute lower respiratory infection J44.0
Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) J40
ICD-10-CM Diagnosis Code J40
Bronchitis, not specified as acute or chronic
Applicable To
Bronchitis NOS
Bronchitis with tracheitis NOS
Catarrhal bronchitis
Tracheobronchitis NOS
Type 1 Excludes
acute bronchitis (J20.-)
allergic bronchitis NOS (J45.909-)
asthmatic bronchitis NOS (J45.9-)
bronchitis due to chemicals, gases, fumes and vapors (J68.0)
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)
- acute or subacute (with bronchospasm or obstruction) J20.9
  ICD-10-CM Diagnosis Code J20.9
  Acute bronchitis, unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  - with
    - chronic obstructive pulmonary disease J44.0
- asthmatic J45.9
  ICD-10-CM Diagnosis Code J45.9
  Other and unspecified asthma
  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  - chronic J44.9
    ICD-10-CM Diagnosis Code J44.9
    Chronic obstructive pulmonary disease, unspecified
    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    Chronic obstructive airway disease NOS
    Chronic obstructive lung disease NOS
    Type 2 Excludes
    lung diseases due to external agents (J60-J70)
    - with
      - acute lower respiratory infection J44.0
Disease, diseased - see also Syndrome
- lung J98.4
  ICD-10-CM Diagnosis Code J98.4
  Other disorders of lung
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  Applicable To
  Calcification of lung
  Cystic lung disease (acquired)
  Lung disease NOS
  Pulmolithiasis
  Type 1 Excludes
  acute interstitial pneumonitis (J84.114)
  pulmonary insufficiency following surgery (J95.1-J95.2)
  - obstructive (chronic) J44.9
    ICD-10-CM Diagnosis Code J44.9
    Chronic obstructive pulmonary disease, unspecified
    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    Chronic obstructive airway disease NOS
    Chronic obstructive lung disease NOS
    Type 2 Excludes
    lung diseases due to external agents (J60-J70)
    - with
      - acute
        bronchitis J44.0
        lower respiratory infection J44.0
      - bronchitis J44.9
        ICD-10-CM Diagnosis Code J44.9
        Chronic obstructive pulmonary disease, unspecified
        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        Applicable To
        Chronic obstructive airway disease NOS
        Chronic obstructive lung disease NOS
        Type 2 Excludes
        lung diseases due to external agents (J60-J70)
        with
        lower respiratory infection J44.0
- pulmonary - see also Disease, lung
  - chronic obstructive J44.9
    ICD-10-CM Diagnosis Code J44.9
    Chronic obstructive pulmonary disease, unspecified
    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    Chronic obstructive airway disease NOS
    Chronic obstructive lung disease NOS
    Type 2 Excludes
    lung diseases due to external agents (J60-J70)
    - with
      - acute bronchitis J44.0
      - lower respiratory infection J44.0 (acute)

ICD-10-CM Codes Adjacent To J44.0

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

J45.31 …… with (acute) exacerbation

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

2023 ICD-10-CM Diagnosis Code J44.0

Chronic obstructive pulmonary disease with (acute) lower respiratory infection

Diseases of the respiratory system

Chronic lower respiratory diseases

Other chronic obstructive pulmonary disease

Acute bronchitis

Acute bronchitis

Chronic obstructive pulmonary disease with (acute) exacerbation

Unspecified asthma, uncomplicated

Chronic obstructive pulmonary disease, unspecified

Chronic obstructive pulmonary disease, unspecified

Chronic obstructive pulmonary disease, unspecified

Bronchitis, not specified as acute or chronic

Acute bronchitis, unspecified

Other and unspecified asthma

Chronic obstructive pulmonary disease, unspecified

Other disorders of lung

Chronic obstructive pulmonary disease, unspecified

Chronic obstructive pulmonary disease, unspecified

Chronic obstructive pulmonary disease, unspecified