J43
J43: Emphysema
Non-billable headerICD-10-CM
J43 is a non-billable header ICD-10-CM code for emphysema. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
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.
Other codes that can never be billed with J43
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J98.2Interstitial emphysema
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead J43
5 child codes. Green means billable.