2020 ICD-10-CM Diagnosis Code J44.1

Chronic obstructive pulmonary disease with (acute) exacerbation

    2016 2017 2018 2019 2020 Billable/Specific Code
  • J44.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Chronic obstructive pulmonary disease w (acute) exacerbation
  • The 2020 edition of ICD-10-CM J44.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J44.1 - other international versions of ICD-10 J44.1 may differ.
Applicable To
  • Decompensated COPD
  • Decompensated COPD with (acute) exacerbation
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (J44.1) and the excluded code together.
  • chronic obstructive pulmonary disease [COPD] with acute bronchitis (
    ICD-10-CM Diagnosis Code J44.0

    Chronic obstructive pulmonary disease with (acute) lower respiratory infection

      2016 2017 2018 2019 2020 - Revised Code Billable/Specific Code
    Code Also
    • to identify the infection
    J44.0
    )
  • lung diseases due to external agents (J60-J70
    ICD-10-CM Range J60-J70

    Lung diseases due to external agents

    Type 2 Excludes
    • asthma (J45.-)
    • malignant neoplasm of bronchus and lung (C34.-)
    • J60 Coalworker's pneumoconiosis
    • J61 Pneumoconiosis due to asbestos and other...
    • J62 Pneumoconiosis due to dust containing si...
    • J63 Pneumoconiosis due to other inorganic du...
    • J64 Unspecified pneumoconiosis
    • J65 Pneumoconiosis associated with tuberculo...
    • J66 Airway disease due to specific organic d...
    • J67 Hypersensitivity pneumonitis due to orga...
    • J68 Respiratory conditions due to inhalation...
    • J69 Pneumonitis due to solids and liquids
    • J70 Respiratory conditions due to other exte...
    )
The following code(s) above J44.1 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 J44.1:
  • J00-J99
    2020 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
    2020 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
  • J44
    ICD-10-CM Diagnosis Code J44

    Other chronic obstructive pulmonary disease

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • type of asthma, if applicable (J45.-)
    Includes
    • 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
    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 asthmatic bronchitis
  • Acute exacerbation of chronic obstructive airways disease
  • Acute exacerbation of chronic obstructive airways disease with asthma
  • Acute exacerbation of chronic obstructive bronchitis
  • Asthma flare, chronic obstructive pulmonary disease
  • Asthma, chronic obstructive with status asthmaticus
  • Asthmatic bronchitis, chronic with acute exacerbation
  • Chronic obstructive asthma with status asthmaticus
  • Chronic obstructive bronchitis with exacerbation
  • Chronic obstructive pulmonary disease, acute flare-up
ICD-10-CM J44.1 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 190 Chronic obstructive pulmonary disease with mcc
  • 191 Chronic obstructive pulmonary disease with cc
  • 192 Chronic obstructive pulmonary disease without cc/mcc

Convert J44.1 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): No change

Diagnosis Index entries containing back-references to J44.1:
  • Asthma, asthmatic (bronchial) (catarrh) (spasmodic) J45.909
    ICD-10-CM Diagnosis Code J45.909

    Unspecified asthma, uncomplicated

      2016 2017 2018 2019 2020 Billable/Specific Code
    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 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
          • exacerbation J44.1 (acute)
      • chronic obstructive pulmonary disease J44.9
        ICD-10-CM Diagnosis Code J44.9

        Chronic obstructive pulmonary disease, unspecified

          2016 2017 2018 2019 2020 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
          • exacerbation J44.1 (acute)
    • chronic obstructive J44.9
      ICD-10-CM Diagnosis Code J44.9

      Chronic obstructive pulmonary disease, unspecified

        2016 2017 2018 2019 2020 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
        • exacerbation J44.1 (acute)
  • Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) J40
    ICD-10-CM Diagnosis Code J40

    Bronchitis, not specified as acute or chronic

      2016 2017 2018 2019 2020 Billable/Specific Code
    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)
    • asthmatic J45.9
      ICD-10-CM Diagnosis Code J45.9

      Other and unspecified asthma

        2016 2017 2018 2019 2020 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 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
          • exacerbation J44.1 (acute)
  • Disease, diseased - see also Syndrome
    • lung J98.4
      ICD-10-CM Diagnosis Code J98.4

      Other disorders of lung

        2016 2017 2018 2019 2020 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) J43.9
        ICD-10-CM Diagnosis Code J43.9

        Emphysema, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Bullous emphysema (lung)(pulmonary)
        • Emphysema (lung)(pulmonary) NOS
        • Emphysematous bleb
        • Vesicular emphysema (lung)(pulmonary)
        • with
          • acute
            • exacerbation NEC J44.1
          • bronchitis J44.9
            ICD-10-CM Diagnosis Code J44.9

            Chronic obstructive pulmonary disease, unspecified

              2016 2017 2018 2019 2020 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
              • exacerbation J44.1 (acute)
        • decompensated J44.1
          • with
            • exacerbation J44.1 (acute)
    • 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 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)

ICD-10-CM Codes Adjacent To J44.1
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
J45.32 …… with status asthmaticus

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