ICD-10-CM Codes
J00-J99 Diseases of the respiratory system
J60-J70 Lung diseases due to external agents
J68- Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

2018/2019 ICD-10-CM Diagnosis Code J68.0

Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors

2016

2017

2018

2019

Billable/Specific Code

J68.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Short description: Bronchitis & pneumonitis d/t chemicals, gas, fumes & vapors
The 2018/2019 edition of ICD-10-CM J68.0 became effective on October 1, 2018.
This is the American ICD-10-CM version of J68.0 - other international versions of ICD-10 J68.0 may differ.

Applicable To

Chemical bronchitis (acute)

The following code(s) above J68.0 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 J68.0:

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
J60-J70
2019 ICD-10-CM Range J60-J70
Lung diseases due to external agents
Type 2 Excludes
- asthma (J45.-)
- malignant neoplasm of bronchus and lung (C34.-)
Lung diseases due to external agents
J68
ICD-10-CM Diagnosis Code J68
Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors
Code First
- (T51-T65) to identify cause
Use Additional
- code to identify associated respiratory conditions, such as:
- acute respiratory failure (J96.0-)
Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

Approximate Synonyms

Chemical bronchitis
Chemical pneumonitis
Toxic pneumonitis

ICD-10-CM J68.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

205 Other respiratory system diagnoses with mcc
206 Other respiratory system diagnoses without mcc

Convert J68.0 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

Code annotations containing back-references to J68.0:

Type 1 Excludes: J18
, J40
, J67

ICD-10-CM Diagnosis Code J18
Pneumonia, unspecified organism
Code First
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Type 1 Excludes
- abscess of lung with pneumonia (J85.1)
- aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
- aspiration pneumonia due to anesthesia during pregnancy (O29)
- aspiration pneumonia due to anesthesia during puerperium (O89.0)
- aspiration pneumonia due to solids and liquids (J69.-)
- aspiration pneumonia NOS (J69.0)
- congenital pneumonia (P23.0)
- drug-induced interstitial lung disorder (J70.2-J70.4)
- interstitial pneumonia NOS (J84.9)
- lipid pneumonia (J69.1)
- neonatal aspiration pneumonia (P24.-)
- pneumonitis due to external agents (J67-J70)
- pneumonitis due to fumes and vapors (J68.0)
- usual interstitial pneumonia (J84.17)
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)
ICD-10-CM Diagnosis Code J67
Hypersensitivity pneumonitis due to organic dust
Includes
- allergic alveolitis and pneumonitis due to inhaled organic dust and particles of fungal, actinomycetic or other origin
Type 1 Excludes
- pneumonitis due to inhalation of chemicals, gases, fumes or vapors (J68.0)
Type 2 Excludes: 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)

Diagnosis Index entries containing back-references to J68.0:

Bronchiolitis (acute) (infective) (subacute) J21.9
ICD-10-CM Diagnosis Code J21.9
Acute bronchiolitis, unspecified
Applicable To
Bronchiolitis (acute)
Type 1 Excludes
chronic bronchiolitis (J44.-)
- chemical (chronic) J68.4
  ICD-10-CM Diagnosis Code J68.4
  Chronic respiratory conditions due to chemicals, gases, fumes and vapors
  2016 2017 2018 2019 Billable/Specific Code
  Applicable To
  Emphysema (diffuse) (chronic) due to inhalation of chemicals, gases, fumes and vapors
  Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemicals, gases, fumes and vapors
  Pulmonary fibrosis (chronic) due to inhalation of chemicals, gases, fumes and vapors
  Type 1 Excludes
  chronic pulmonary edema due to chemicals, gases, fumes and vapors (J68.1)
  - acute J68.0
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 Billable/Specific Code
  - due to
    - fumes or vapors J68.0
  - chemical J68.0 (due to gases, fumes or vapors)
- chemical (acute) (subacute) J68.0
  - due to fumes or vapors J68.0
- aspiration J68.0 (due to fumes or vapors)
- due to gases, fumes or vapors J68.0 (chemical)
Disease, diseased - see also Syndrome
- silo-filler's J68.8
  ICD-10-CM Diagnosis Code J68.8
  Other respiratory conditions due to chemicals, gases, fumes and vapors
  2016 2017 2018 2019 Billable/Specific Code
  - bronchitis J68.0
  - pneumonitis J68.0
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
ICD-10-CM Diagnosis Code J18.9
Pneumonia, unspecified organism
- broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) J18.0
  ICD-10-CM Diagnosis Code J18.0
  Bronchopneumonia, unspecified organism
  2016 2017 2018 2019 Billable/Specific Code
  Type 1 Excludes
  hypostatic bronchopneumonia (J18.2)
  lipid pneumonia (J69.1)
  Type 2 Excludes
  acute bronchiolitis (J21.-)
  chronic bronchiolitis (J44.9)
  - inhalation - see also Pneumonia, aspiration
    - due to fumes or vapors J68.0 (chemical)
- in (due to)
  - fumes and vapors J68.0 (chemical) (inhalation)
- nitrogen dioxide J68.0
Pneumonitis (acute) (primary) - see also Pneumonia
- aspiration J69.0
  ICD-10-CM Diagnosis Code J69.0
  Pneumonitis due to inhalation of food and vomit
  2016 2017 2018 2019 Billable/Specific Code
  Applicable To
  Aspiration pneumonia NOS
  Aspiration pneumonia (due to) food (regurgitated)
  Aspiration pneumonia (due to) gastric secretions
  Aspiration pneumonia (due to) milk
  Aspiration pneumonia (due to) vomit
  Code Also
  any associated foreign body in respiratory tract (T17.-)
  Type 1 Excludes
  chemical pneumonitis due to anesthesia (J95.4)
  obstetric aspiration pneumonitis (O74.0)
  - due to
    - fumes or gases J68.0
- chemical (due to gases, fumes or vapors) (inhalation) J68.0
- due to
  - beryllium J68.0
  - cadmium J68.0
  - crack J68.0 (cocaine)
  - fluorocarbon-polymer J68.0
  - fumes or vapors J68.0
  - gases, fumes or vapors J68.0 (inhalation)
  - manganese J68.0
  - nitrogen dioxide J68.0
  - vanadium J68.0
- crack J68.0 (cocaine)
Silo-fillers' disease J68.8
ICD-10-CM Diagnosis Code J68.8
Other respiratory conditions due to chemicals, gases, fumes and vapors
- bronchitis J68.0
- pneumonitis J68.0

ICD-10-CM Codes Adjacent To J68.0

J67.1 Bagassosis

J67.2 Bird fancier's lung

J67.3 Suberosis

J67.4 Maltworker's lung

J67.5 Mushroom-worker's lung

J67.6 Maple-bark-stripper's lung

J67.7 Air conditioner and humidifier lung

J67.8 Hypersensitivity pneumonitis due to other organic dusts

J67.9 Hypersensitivity pneumonitis due to unspecified organic dust

J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors

J68.1 Pulmonary edema due to chemicals, gases, fumes and vapors

J68.2 Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified

J68.3 Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors

J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapors

J68.8 Other respiratory conditions due to chemicals, gases, fumes and vapors

J68.9 Unspecified respiratory condition due to chemicals, gases, fumes and vapors

J69 Pneumonitis due to solids and liquids

J69.0 Pneumonitis due to inhalation of food and vomit

J69.1 Pneumonitis due to inhalation of oils and essences

J69.8 Pneumonitis due to inhalation of other solids and liquids

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 J68.0

Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors

Diseases of the respiratory system

Lung diseases due to external agents

Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

Pneumonia, unspecified organism

Bronchitis, not specified as acute or chronic

Hypersensitivity pneumonitis due to organic dust

Acute bronchitis

Acute bronchiolitis, unspecified

Chronic respiratory conditions due to chemicals, gases, fumes and vapors

Bronchitis, not specified as acute or chronic

Acute bronchitis, unspecified

Other respiratory conditions due to chemicals, gases, fumes and vapors

Pneumonia, unspecified organism

Bronchopneumonia, unspecified organism

Pneumonitis due to inhalation of food and vomit

Other respiratory conditions due to chemicals, gases, fumes and vapors