J45.909: Unspecified asthma, uncomplicated
J45.909 is a billable, specific ICD-10-CM code for unspecified asthma, uncomplicated. It is valid for submission on a claim.
Check J45.909 with the rest of the claim: free scrubberExcludes2: 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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Asthma NOS
Excludes1 inherited from the categories above J45.909
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above J45.909
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with J45.909
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J45.909 is named in 30 Medicare coverage policies: 28 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
- A53064Billing and Coding: Outpatient Occupational Therapy
Alphabetic index entries that lead here
- Asthma, asthmatic(bronchial) (catarrh) (spasmodic)
- IgE asthma
- Asthma, asthmatic›allergic extrinsic
- Asthma, asthmatic›childhood
- Asthma, asthmatic›late-onset
- Asthma, asthmatic›mixed
- Asthma, asthmatic›nonallergic(intrinsic)
- Asthma, asthmatic›predominantly allergic
- Bronchitis›allergic(acute)
- Dyspnea›asthmatic(bronchial)
- Fever›hay›with asthma(bronchial)
- Rhinitis›allergic›with asthma
Code history
Unchanged in every release from FY2024 to FY2027.