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ICD-10-CM Codes
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J00-J99
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J60-J70
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J68-
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2023 ICD-10-CM Diagnosis Code J68.4
2023 ICD-10-CM Diagnosis Code J68.4
Chronic respiratory conditions due to chemicals, gases, fumes and vapors
2016 2017 2018 2019 2020 2021 2022 2023 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 2023 edition of ICD-10-CM J68.4 became effective on October 1, 2022.
- 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 ExcludesType 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.
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
2023 ICD-10-CM Range J00-J99
Diseases of the respiratory systemNote- 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)
- J60-J70
2023 ICD-10-CM Range J60-J70
Lung diseases due to external agentsType 2 Excludes- asthma (J45.-)
- malignant neoplasm of bronchus and lung (C34.-)
- J68
ICD-10-CM Diagnosis Code J68
Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Use Additional- code to identify associated respiratory conditions, such as:
- acute respiratory failure (J96.0-)
- 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 v40.0):
- 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
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
Code annotations 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 2021 2022 2023 Billable/Specific Code
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 2021 2022 2023 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 2021 2022 2023 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 2021 2022 2023 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 2021 2022 2023 Billable/Specific Code
Applicable To- Chemical bronchitis (acute)
- chronic J68.4
- chronic J42
ICD-10-CM Diagnosis Code J42
Unspecified chronic bronchitis
2016 2017 2018 2019 2020 2021 2022 2023 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 2021 2022 2023 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 2021 2022 2023 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 2021 2022 2023 Billable/Specific Code
- 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 2021 2022 2023 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 2021 2022 2023 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 2021 2022 2023 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.
