J41.0
J41.0: Simple chronic bronchitis
Billable / specific codeICD-10-CM
J41.0 is a billable, specific ICD-10-CM code for simple chronic bronchitis. It is valid for submission on a claim.
Check J41.0 with the rest of the claim: free scrubberOther codes that can never be billed with J41.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
J41.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders0.319 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
J41.0 is named in 13 Medicare coverage policies: 11 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52466Nebulizers - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
Alphabetic index entries that lead here
- Bronchitis›smokers'
- Cough›smokers'
- Smoker's›bronchitis
- Smoker's›cough
- Bronchitis›catarrhal›chronic
- Bronchitis›chronic›catarrhal
- Bronchitis›chronic›non-obstructive
- Bronchitis›chronic›simple
- Bronchitis›chronic›due to›tobacco smoking
Code history
Unchanged in every release from FY2024 to FY2027.