Is J45.5 a billable ICD-10-CM code?

No. J45.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does J45.5 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Chronic lower respiratory diseases (J40-J4A).

J45.5

J45.5 — Severe persistent asthma

Non-billable headerICD-10-CM

J45.5 is a non-billable header ICD-10-CM code for severe persistent asthma. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

J45.5 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.

Code to one of these instead J45.5

3 child codes. Green means billable.

J45.50Severe persistent asthma, uncomplicated
J45.51Severe persistent asthma with (acute) exacerbation
J45.52Severe persistent asthma with status asthmaticus

Related codes at this level

Codes that share J45. If J45.5 is not quite right, the correct code is usually one of these.

J45.2Mild intermittent asthma
J45.3Mild persistent asthma
J45.4Moderate persistent asthma
J45.9Other and unspecified asthma

Questions about J45.5

Is J45.5 a billable ICD-10-CM code?: No. J45.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J45.5 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Chronic lower respiratory diseases (J40-J4A).