J98.4 — Other disorders of lung
J98.4 is a billable, specific ICD-10-CM code for other disorders of lung. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Calcification of lung
- Cystic lung disease (acquired)
- Lung disease NOS
- Pulmolithiasis
Other codes that can never be billed with J98.4
These codes carry an Excludes1 note pointing at J98.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J98.4 alone.
- Q33.0Congenital cystic lung
Risk adjustment
J98.4 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.
Medicare coverage
J98.4 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A56730Billing and Coding: Respiratory Therapy and Oximetry Services
- A56767Billing and Coding: Heavy Metal Testing
How J98.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J98.4.
- Honeycomb lung
- Pneumatocele(lung)
- Pneumonitis(acute) (primary)
- Pneumopathy NEC
- Pulmolithiasis
- Adhesions, adhesive›lung
- Adhesions, adhesive›pulmonary
- Atrophy, atrophic›lung(senile)
- Calcification›lung(active) (postinfectional)
- Calculus, calculi, calculous›lung
- Calculus, calculi, calculous›pulmonary
- Cavitation of lung›nontuberculous
Related codes at this level
Codes that share J98. If J98.4 is not quite right, the correct code is usually one of these.
Questions about J98.4
- Is J98.4 a billable ICD-10-CM code?
- Yes. J98.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J98.4 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 J98.4?
- J98.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.