Is J98.1 a billable ICD-10-CM code?

No. J98.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does J98.1 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Other diseases of the respiratory system (J96-J99).

What cannot be coded together with J98.1?

J98.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J98.1

J98.1 — Pulmonary collapse

Non-billable headerICD-10-CM

J98.1 is a non-billable header ICD-10-CM code for pulmonary collapse. 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.

therapeutic collapse of lung status (Z98.3)

Risk adjustment

J98.1 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 J98.1

2 child codes. Green means billable.

Related codes at this level

Codes that share J98. If J98.1 is not quite right, the correct code is usually one of these.

Questions about J98.1

Is J98.1 a billable ICD-10-CM code?: No. J98.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J98.1 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Other diseases of the respiratory system (J96-J99).
What cannot be coded together with J98.1?: J98.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.