2019/2020

  1. ICD-10-CM Codes
    2. ›
  2. J00-J99 Diseases of the respiratory system
    3. ›
  3. J60-J70 Lung diseases due to external agents
    4. ›
  4. J68- Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors
    5. ›

2020 ICD-10-CM Diagnosis Code J68.0

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

    2016 2017 2018 2019 2020 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 2020 edition of ICD-10-CM J68.0 became effective on October 1, 2019.
  • 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
    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
  • J60-J70
    2020 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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    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 v37.0):
  • 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
  • 2020 (effective 10/1/2019): 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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    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

      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)
    ICD-10-CM Diagnosis Code J67

    Hypersensitivity pneumonitis due to organic dust

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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

      2016 2017 2018 2019 2020 Billable/Specific Code
    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 2020 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

      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)
    • acute or subacute (with bronchospasm or obstruction) J20.9
      ICD-10-CM Diagnosis Code J20.9

      Acute bronchitis, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      • due to
        • fumes or vapors J68.0
      • chemical J68.0 (due to gases, fumes or vapors)
    • chemical (acute) (subacute) 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 2020 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

      2016 2017 2018 2019 2020 Billable/Specific Code
    • 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 2020 Billable/Specific Code
      Type 1 Excludes
      • hypostatic bronchopneumonia (J18.2)
      • lipid pneumonia (J69.1)
      Type 2 Excludes
      • acute bronchiolitis (J21.-)
      • chronic bronchiolitis (J44.9)
    • 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 2020 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)
    • 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

      2016 2017 2018 2019 2020 Billable/Specific Code
    • 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.

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