Chapter 10: Diseases of the respiratory system
J00-J99
Chapter 10 of the ICD-10-CM tabular list covers diseases of the respiratory system, codes J00-J99. It holds 471 codes across 11 blocks, of which 360 are billable and 111 are header codes that cannot go on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- 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
Add a secondary code to capture the detail described below.
Notes
Additional guidance from the ICD-10-CM tabular list.
- 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).
Risk adjustment in Chapter 10
123 of this chapter’s codes map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded to the level the record supports.
- HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders
- HCC 213 Cardio-Respiratory Failure and Shock
- HCC 282 Aspiration and Specified Bacterial Pneumonias
- HCC 211 Respirator Dependence/Tracheostomy Status/Complications
- HCC 283 Empyema, Lung Abscess
- HCC 276 Lung Transplant Status/Complications
Blocks in this chapter
- J00-J06Acute upper respiratory infections54 codes
- J09-J18Influenza and pneumonia69 codes
- J20-J22Other acute lower respiratory infections17 codes
- J30-J39Other diseases of upper respiratory tract78 codes
- J40-J4AChronic lower respiratory diseases23 codes
- J60-J70Lung diseases due to external agents52 codes
- J80-J84Other respiratory diseases principally affecting the interstitium41 codes
- J85-J86Suppurative and necrotic conditions of the lower respiratory tract8 codes
- J90-J94Other diseases of the pleura23 codes
- J95Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified42 codes
- J96-J99Other diseases of the respiratory system34 codes