2020 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
  • J68.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Chronic resp cond due to chemicals, gases, fumes and vapors
  • The 2020 edition of ICD-10-CM J68.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J68.4 - other international versions of ICD-10 J68.4 may differ.
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
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 J68.4. 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.
  • chronic pulmonary edema due to chemicals, gases, fumes and vapors (
    ICD-10-CM Diagnosis Code J68.1

    Pulmonary edema due to chemicals, gases, fumes and vapors

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Chemical pulmonary edema (acute) (chronic)
    Type 1 Excludes
    • pulmonary edema (acute) (chronic) NOS (J81.-)
    J68.1
    )
The following code(s) above J68.4 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 J68.4:
  • 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
  • Bronchiolitis, chronic obliterative due to fumes
  • Bronchiolitis, subacute obliterative due to fumes
  • Chronic emphysema due to chemical fumes
  • Chronic obliterative bronchiolitis due to inhalation of chemical fumes and/or vapors
  • Chronic pulmonary fibrosis due to chemical fumes
  • Chronic respiratory condition due to chemical fumes
  • Chronic respiratory conditions due to chemical fumes
  • Subacute obliterative bronchiolitis due to inhalation of chemical fumes and/or vapors
ICD-10-CM J68.4 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 J68.4 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 J68.4:
  • Type 1 Excludes: J43
    , J84.1
    ICD-10-CM Diagnosis Code J43

    Emphysema

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • compensatory emphysema (J98.3)
    • emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
    • emphysema with chronic (obstructive) bronchitis (J44.-)
    • emphysematous (obstructive) bronchitis (J44.-)
    • interstitial emphysema (J98.2)
    • mediastinal emphysema (J98.2)
    • neonatal interstitial emphysema (P25.0)
    • surgical (subcutaneous) emphysema (T81.82)
    • traumatic subcutaneous emphysema (T79.7)
    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 Diagnosis Code J84.1

    Other interstitial pulmonary diseases with fibrosis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • pulmonary fibrosis (chronic) due to inhalation of chemicals, gases, fumes or vapors (J68.4)
    • pulmonary fibrosis (chronic) following radiation (J70.1)

Diagnosis Index entries containing back-references to J68.4:
  • 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
    • obliterative (chronic) (subacute) 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)
      • due to fumes or vapors J68.4
      • due to chemicals, gases, fumes or vapors J68.4 (inhalation)
  • 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)
    • chemical (acute) (subacute) J68.0
      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
      Applicable To
      • Chemical bronchitis (acute)
      • due to fumes or vapors J68.0
        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
        Applicable To
        • Chemical bronchitis (acute)
        • chronic J68.4
      • chronic J68.4
    • chronic J42
      ICD-10-CM Diagnosis Code J42

      Unspecified chronic bronchitis

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Chronic bronchitis NOS
      • Chronic tracheitis
      • Chronic tracheobronchitis
      Type 1 Excludes
      • chronic asthmatic bronchitis (J44.-)
      • chronic bronchitis with airways obstruction (J44.-)
      • chronic emphysematous bronchitis (J44.-)
      • chronic obstructive pulmonary disease NOS (J44.9)
      • simple and mucopurulent chronic bronchitis (J41.-)
      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)
      • due to
        • chemicals, gases, fumes or vapors J68.4 (inhalation)
      • chemical J68.4 (due to fumes or vapors)
  • Disease, diseased - see also Syndrome
    • respiratory (tract) J98.9
      ICD-10-CM Diagnosis Code J98.9

      Respiratory disorder, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Respiratory disease (chronic) NOS
      • chronic NOS J98.9
        ICD-10-CM Diagnosis Code J98.9

        Respiratory disorder, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Respiratory disease (chronic) NOS
        • due to
          • chemicals, gases, fumes or vapors J68.4
      • due to
        • chemicals, gases, fumes or vapors J68.9
          ICD-10-CM Diagnosis Code J68.9

          Unspecified respiratory condition due to chemicals, gases, fumes and vapors

            2016 2017 2018 2019 2020 Billable/Specific Code
          • chronic J68.4
  • Emphysema (atrophic) (bullous) (chronic) (interlobular) (lung) (obstructive) (pulmonary) (senile) (vesicular) 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)
    • due to chemicals, gases, fumes or vapors J68.4
  • Fibrosis, fibrotic
    • lung (atrophic) (chronic) (confluent) (massive) (perialveolar) (peribronchial) J84.10
      ICD-10-CM Diagnosis Code J84.10

      Pulmonary fibrosis, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Capillary fibrosis of lung
      • Cirrhosis of lung (chronic) NOS
      • Fibrosis of lung (atrophic) (chronic) (confluent) (massive) (perialveolar) (peribronchial) NOS
      • Induration of lung (chronic) NOS
      • Postinflammatory pulmonary fibrosis
      • diffuse (idiopathic) J84.10
        ICD-10-CM Diagnosis Code J84.10

        Pulmonary fibrosis, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Capillary fibrosis of lung
        • Cirrhosis of lung (chronic) NOS
        • Fibrosis of lung (atrophic) (chronic) (confluent) (massive) (perialveolar) (peribronchial) NOS
        • Induration of lung (chronic) NOS
        • Postinflammatory pulmonary fibrosis
        • chemicals, gases, fumes or vapors J68.4 (inhalation)

ICD-10-CM Codes Adjacent To J68.4
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
J70 Respiratory conditions due to other external agents
J70.0 Acute pulmonary manifestations due to radiation
J70.1 Chronic and other pulmonary manifestations due to radiation
J70.2 Acute drug-induced interstitial lung disorders

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