ICD-10-CM Codes
J00-J99 Diseases of the respiratory system
J40-J47 Chronic lower respiratory diseases
J47- Bronchiectasis

2018 ICD-10-CM Diagnosis Code J47

Bronchiectasis

2016

2017

2018

Non-Billable/Non-Specific Code

J47 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2018 edition of ICD-10-CM J47 became effective on October 1, 2017.
This is the American ICD-10-CM version of J47 - other international versions of ICD-10 J47 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
)
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
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
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
)

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 J47. 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.

congenital bronchiectasis (
ICD-10-CM Diagnosis Code Q33.4
Congenital bronchiectasis
Q33.4
)
tuberculous bronchiectasis (current disease) (
ICD-10-CM Diagnosis Code A15.0
Tuberculosis of lung
Applicable To
- Tuberculous bronchiectasis
- Tuberculous fibrosis of lung
- Tuberculous pneumonia
- Tuberculous pneumothorax
A15.0
)

Includes

Includes Help

"Includes" further defines, or give examples of, the content of the code or category.

bronchiolectasis

The following code(s) above J47 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 J47:

J00-J99
2018 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
2018 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

Clinical Information

Persistent abnormal dilatation of the bronchi.
Segmental, irreversible dilation of the bronchial tree resulting in the accumulation of secretions which leads to obstruction. The most common cause is bacterial infection.

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

Code annotations containing back-references to J47:

Code Also: I27.23

ICD-10-CM Diagnosis Code I27.23
Pulmonary hypertension due to lung diseases and hypoxia
Applicable To
- Group 3 pulmonary hypertension
Code Also
- associated lung disease, if known, such as:
- bronchiectasis (J47.-)
- cystic fibrosis with pulmonary manifestations (E84.0)
- interstitial lung disease (J84.-)
- pleural effusion (J90)
- sleep apnea (G47.3-)
Type 1 Excludes: 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 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)

ICD-10-CM Codes Adjacent To J47

J45.52 …… with status asthmaticus

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

J47 Bronchiectasis

J47.0 Bronchiectasis with acute lower respiratory infection

J47.1 Bronchiectasis with (acute) exacerbation

J47.9 Bronchiectasis, uncomplicated

J60 Coalworker's pneumoconiosis

J61 Pneumoconiosis due to asbestos and other mineral fibers

J62 Pneumoconiosis due to dust containing silica

J62.0 Pneumoconiosis due to talc dust

J62.8 Pneumoconiosis due to other dust containing silica

J63 Pneumoconiosis due to other inorganic dusts

J63.0 Aluminosis (of lung)

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

2018 ICD-10-CM Diagnosis Code J47

Bronchiectasis

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

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

Personal history of nicotine dependence

Occupational exposure to environmental tobacco smoke

Tobacco use

Congenital bronchiectasis

Tuberculosis of lung

Diseases of the respiratory system

Chronic lower respiratory diseases

Pulmonary hypertension due to lung diseases and hypoxia

Other chronic obstructive pulmonary disease