J44.0: Chronic obstructive pulmonary disease with (acute) lower respiratory infection
J44.0 is a billable, specific ICD-10-CM code for chronic obstructive pulmonary disease with (acute) lower respiratory infection. It is valid for submission on a claim.
Check J44.0 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- to identify the infection
Excludes2 inherited from the categories above J44.0
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with J44.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J42Unspecified chronic bronchitis
Risk adjustment
J44.0 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
J44.0 is named in 25 Medicare coverage policies: 23 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
- Asthma, asthmatic›chronic obstructive›with›acute lower respiratory infection
- Bronchitis›acute or subacute›with›chronic obstructive pulmonary disease
- Asthma, asthmatic›with›chronic obstructive bronchitis›with›acute lower respiratory infection
- Asthma, asthmatic›with›chronic obstructive pulmonary disease›with›acute lower respiratory infection
- Bronchitis›asthmatic›chronic›with›acute lower respiratory infection
- Disease, diseased›pulmonary›chronic obstructive›with›acute bronchitis
- Disease, diseased›pulmonary›chronic obstructive›with›lower respiratory infection(acute)
- Disease, diseased›lung›obstructive›with›acute›bronchitis
- Disease, diseased›lung›obstructive›with›acute›lower respiratory infection
- Disease, diseased›lung›obstructive›with›bronchitis›with›lower respiratory infection
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.