2020 ICD-10-CM Diagnosis Code J81

Pulmonary edema

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • J81 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM J81 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J81 - other international versions of ICD-10 J81 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)

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Exposure to second hand tobacco smoke (acute) (chronic)
    • Passive smoking (acute) (chronic)
    Type 1 Excludes
    Type 2 Excludes
    • occupational exposure to environmental tobacco smoke (Z57.31)
    Z77.22
    )
  • history of tobacco dependence (
    ICD-10-CM Diagnosis Code Z87.891

    Personal history of nicotine dependence

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    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

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    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

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    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 J81. 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.
  • chemical (acute) pulmonary edema (
    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
    )
  • hypostatic pneumonia (
    ICD-10-CM Diagnosis Code J18.2

    Hypostatic pneumonia, unspecified organism

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hypostatic bronchopneumonia
    • Passive pneumonia
    J18.2
    )
  • passive pneumonia (
    ICD-10-CM Diagnosis Code J18.2

    Hypostatic pneumonia, unspecified organism

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Hypostatic bronchopneumonia
    • Passive pneumonia
    J18.2
    )
  • pulmonary edema due to external agents (J60-J70
    ICD-10-CM Range J60-J70

    Lung diseases due to external agents

    Type 2 Excludes
    • asthma (J45.-)
    • malignant neoplasm of bronchus and lung (C34.-)
    • J60 Coalworker's pneumoconiosis
    • J61 Pneumoconiosis due to asbestos and other...
    • J62 Pneumoconiosis due to dust containing si...
    • J63 Pneumoconiosis due to other inorganic du...
    • J64 Unspecified pneumoconiosis
    • J65 Pneumoconiosis associated with tuberculo...
    • J66 Airway disease due to specific organic d...
    • J67 Hypersensitivity pneumonitis due to orga...
    • J68 Respiratory conditions due to inhalation...
    • J69 Pneumonitis due to solids and liquids
    • J70 Respiratory conditions due to other exte...
    )
  • pulmonary edema with heart disease NOS (
    ICD-10-CM Diagnosis Code I50.1

    Left ventricular failure, unspecified

      2016 2017 2018 - Revised Code 2019 2020 Billable/Specific Code
    Applicable To
    • Cardiac asthma
    • Edema of lung with heart disease NOS
    • Edema of lung with heart failure
    • Left heart failure
    • Pulmonary edema with heart disease NOS
    • Pulmonary edema with heart failure
    Type 1 Excludes
    • edema of lung without heart disease or heart failure (J81.-)
    • pulmonary edema without heart disease or failure (J81.-)
    I50.1
    )
  • pulmonary edema with heart failure (
    ICD-10-CM Diagnosis Code I50.1

    Left ventricular failure, unspecified

      2016 2017 2018 - Revised Code 2019 2020 Billable/Specific Code
    Applicable To
    • Cardiac asthma
    • Edema of lung with heart disease NOS
    • Edema of lung with heart failure
    • Left heart failure
    • Pulmonary edema with heart disease NOS
    • Pulmonary edema with heart failure
    Type 1 Excludes
    • edema of lung without heart disease or heart failure (J81.-)
    • pulmonary edema without heart disease or failure (J81.-)
    I50.1
    )
The following code(s) above J81 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 J81:
  • 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
Clinical Information
  • A buildup of fluid in the alveoli (air spaces) in the lungs. This keeps oxygen from getting into the blood. Pulmonary edema is usually caused by heart problems, but it can also be caused by high blood pressure, pneumonia, certain toxins and medicines, or living at a high altitude. Symptoms include coughing, shortness of breath, and trouble exercising.
  • A disorder characterized by accumulation of fluid in the lung tissues that causes a disturbance of the gas exchange that may lead to respiratory failure.
  • Accumulation of fluid in the lung tissues causing disturbance of the gas exchange that may lead to respiratory failure. It is caused by direct injury to the lung parenchyma or congestive heart failure. The symptoms may appear suddenly or gradually. Suddenly appearing symptoms include difficulty breathing, feeling of suffocation, and coughing associated with frothy sputum. Gradually appearing symptoms include difficulty breathing while lying in bed, shortness of breath during activity, and weight gain (in patients with congestive heart failure).
  • Excessive accumulation of extravascular fluid in the lung, an indication of a serious underlying disease or disorder. Pulmonary edema prevents efficient pulmonary gas exchange in the pulmonary alveoli, and can be life-threatening.
  • Extravascular accumulation of fluid in the pulmonary tissue and air spaces.
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 J81:
  • Type 1 Excludes: J68.1
    , I50.1
    , I50.1
    , R60
    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.-)
    ICD-10-CM Diagnosis Code I50.1

    Left ventricular failure, unspecified

      2016 2017 2018 - Revised Code 2019 2020 Billable/Specific Code
    Applicable To
    • Cardiac asthma
    • Edema of lung with heart disease NOS
    • Edema of lung with heart failure
    • Left heart failure
    • Pulmonary edema with heart disease NOS
    • Pulmonary edema with heart failure
    Type 1 Excludes
    • edema of lung without heart disease or heart failure (J81.-)
    • pulmonary edema without heart disease or failure (J81.-)
    ICD-10-CM Diagnosis Code I50.1

    Left ventricular failure, unspecified

      2016 2017 2018 - Revised Code 2019 2020 Billable/Specific Code
    Applicable To
    • Cardiac asthma
    • Edema of lung with heart disease NOS
    • Edema of lung with heart failure
    • Left heart failure
    • Pulmonary edema with heart disease NOS
    • Pulmonary edema with heart failure
    Type 1 Excludes
    • edema of lung without heart disease or heart failure (J81.-)
    • pulmonary edema without heart disease or failure (J81.-)
    ICD-10-CM Diagnosis Code R60

    Edema, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
ICD-10-CM Codes Adjacent To J81
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
J70.3 Chronic drug-induced interstitial lung disorders
J70.4 Drug-induced interstitial lung disorders, unspecified
J70.5 Respiratory conditions due to smoke inhalation
J70.8 Respiratory conditions due to other specified external agents
J70.9 Respiratory conditions due to unspecified external agent
J80 Acute respiratory distress syndrome
J81 Pulmonary edema
J81.0 Acute pulmonary edema
J81.1 Chronic pulmonary edema
J82 Pulmonary eosinophilia, not elsewhere classified
J84 Other interstitial pulmonary diseases
J84.0 Alveolar and parieto-alveolar conditions
J84.01 Alveolar proteinosis
J84.02 Pulmonary alveolar microlithiasis
J84.03 Idiopathic pulmonary hemosiderosis
J84.09 Other alveolar and parieto-alveolar conditions
J84.1 Other interstitial pulmonary diseases with fibrosis

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