J98

J98: Other respiratory disorders

Non-billable headerICD-10-CM

J98 is a non-billable header ICD-10-CM code for other respiratory disorders. 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.

newborn apnea (P28.4-)
newborn sleep apnea (P28.3-)

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.

apnea NOS (R06.81)
sleep apnea (G47.3-)

Use additional code

Add a secondary code to capture the detail described below.

code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Other codes that can never be billed with J98

Their own Excludes1 notes name this code, so the conflict is not listed above.

J43Emphysema
J84Other interstitial pulmonary diseases
Q33.0Congenital cystic lung

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 J98

9 child codes. Green means billable.