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.

Check J39.3 with the rest of the claim: free scrubber

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)

Excludes1 inherited from the categories above J39.3

A category’s note binds every code beneath it.

Written on J39: Other diseases of upper respiratory tract

acute respiratory infection NOS (J22)
acute upper respiratory infection (J06.9)
upper respiratory inflammation due to chemicals, gases, fumes or vapors (J68.2)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J39.3 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.