Asthma J45- >

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 2020 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 2020 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 2020 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 2020 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 2020 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 J45. 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.
  • detergent asthma (
    ICD-10-CM Diagnosis Code J69.8

    Pneumonitis due to inhalation of other solids and liquids

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Pneumonitis due to aspiration of blood
    • Pneumonitis due to aspiration of detergent
    Code First
    J69.8
    )
  • eosinophilic asthma (
    ICD-10-CM Diagnosis Code J82

    Pulmonary eosinophilia, not elsewhere classified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Allergic pneumonia
    • Eosinophilic asthma
    • Eosinophilic pneumonia
    • Löffler's pneumonia
    • Tropical (pulmonary) eosinophilia NOS
    Type 1 Excludes
    • pulmonary eosinophilia due to aspergillosis (B44.-)
    • pulmonary eosinophilia due to drugs (J70.2-J70.4)
    • pulmonary eosinophilia due to specified parasitic infection (B50-B83)
    • pulmonary eosinophilia due to systemic connective tissue disorders (M30-M36)
    • pulmonary infiltrate NOS (R91.8)
    J82
    )
  • miner's asthma (
    ICD-10-CM Diagnosis Code J60

    Coalworker's pneumoconiosis

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Anthracosilicosis
    • Anthracosis
    • Black lung disease
    • Coalworker's lung
    Type 1 Excludes
    • coalworker pneumoconiosis with tuberculosis, any type in A15 (J65)
    J60
    )
  • wheezing NOS (
    ICD-10-CM Diagnosis Code R06.2

    Wheezing

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    R06.2
    )
  • wood asthma (
    ICD-10-CM Diagnosis Code J67.8

    Hypersensitivity pneumonitis due to other organic dusts

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Cheese-washer's lung
    • Coffee-worker's lung
    • Fish-meal worker's lung
    • Furrier's lung
    • Sequoiosis
    J67.8
    )
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 (J45) and the excluded code together.
  • asthma with chronic obstructive pulmonary disease (
    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)
    J44.9
    )
  • chronic asthmatic (obstructive) bronchitis (
    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)
    J44.9
    )
  • chronic obstructive asthma (
    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)
    J44.9
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • allergic (predominantly) asthma
  • allergic bronchitis NOS
  • allergic rhinitis with asthma
  • atopic asthma
  • extrinsic allergic asthma
  • hay fever with asthma
  • idiosyncratic asthma
  • intrinsic nonallergic asthma
  • nonallergic asthma
Clinical Information
  • A chronic disease in which the bronchial airways in the lungs become narrowed and swollen, making it difficult to breathe. Symptoms include wheezing, coughing, tightness in the chest, shortness of breath, and rapid breathing. An attack may be brought on by pet hair, dust, smoke, pollen, mold, exercise, cold air, or stress.
  • A chronic respiratory disease manifested as difficulty breathing due to the narrowing of bronchial passageways.
  • A form of bronchial disorder with three distinct components: airway hyper-responsiveness (respiratory hypersensitivity), airway inflammation, and intermittent airway obstruction. It is characterized by spasmodic contraction of airway smooth muscle, wheezing, and dyspnea (dyspnea, paroxysmal).
  • Asthma is a chronic disease that affects your airways. Your airways are tubes that carry air in and out of your lungs. If you have asthma, the inside walls of your airways become sore and swollen. That makes them very sensitive, and they may react strongly to things that you are allergic to or find irritating. When your airways react, they get narrower and your lungs get less air.symptoms of asthma include
    • wheezing
    • coughing, especially early in the morning or at night
    • chest tightness
    • shortness of breath
    not all people who have asthma have these symptoms. Having these symptoms doesn't always mean that you have asthma. Your doctor will diagnose asthma based on lung function tests, your medical history, and a physical exam. You may also have allergy tests.when your asthma symptoms become worse than usual, it's called an asthma attack. Severe asthma attacks may require emergency care, and they can be fatal.asthma is treated with two kinds of medicines: quick-relief medicines to stop asthma symptoms and long-term control medicines to prevent symptoms.
  • Form of bronchial disorder associated with airway obstruction, marked by recurrent attacks of paroxysmal dyspnea, with wheezing due to spasmodic contraction of the bronchi.
Codes
  • 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
    • J45.4 Moderate persistent asthma
      • J45.40 …… uncomplicated
      • J45.41 …… with (acute) exacerbation
      • J45.42 …… with status asthmaticus
    • J45.5 Severe persistent asthma
      • J45.50 …… uncomplicated
      • J45.51 …… with (acute) exacerbation
      • J45.52 …… with status asthmaticus
    • J45.9 Other and unspecified asthma