J98.11
J98.11: Atelectasis
Billable / specific codeICD-10-CM
J98.11 is a billable, specific ICD-10-CM code for atelectasis. It is valid for submission on a claim.
Check J98.11 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- newborn atelectasis
- tuberculous atelectasis (current disease) (A15)
Excludes1 inherited from the categories above J98.11
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above J98.11
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J98.11 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A56730Billing and Coding: Respiratory Therapy and Oximetry Services
- A57205Billing and Coding: Oximetry Services
Alphabetic index entries that lead here
- Atelectasis(massive) (partial) (pressure) (pulmonary)
- Right middle lobe syndrome
- Syndrome›Brock's
Code history
Unchanged in every release from FY2024 to FY2027.