Is J39.3 a billable ICD-10-CM code?

Yes. J39.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J39.3 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Other diseases of upper respiratory tract (J30-J39).

What cannot be coded together with J39.3?

J39.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J39.3

J39.3 — Upper respiratory tract hypersensitivity reaction, site unspecified

Billable / specific codeICD-10-CM

J39.3 is a billable, specific ICD-10-CM code for upper respiratory tract hypersensitivity reaction, site unspecified. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

hypersensitivity reaction of upper respiratory tract, such as:
extrinsic allergic alveolitis (J67.9)
pneumoconiosis (J60-J67.9)

Risk adjustment

J39.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

J39.3 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56559Billing and Coding: Allergy Skin Testing
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A57205Billing and Coding: Oximetry Services

How J39.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J39.3.

Hypersensitive, hypersensitiveness, hypersensitivity›reaction›upper respiratory tract NEC

Related codes at this level

Codes that share J39. If J39.3 is not quite right, the correct code is usually one of these.

Questions about J39.3

Is J39.3 a billable ICD-10-CM code?: Yes. J39.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J39.3 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Other diseases of upper respiratory tract (J30-J39).
What cannot be coded together with J39.3?: J39.3 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.