{"code":"J44.1","type":"code","title":"Chronic obstructive pulmonary disease with (acute) exacerbation","codeAlso":["type of asthma, if applicable (J45.-)"],"includes":["asthma with chronic obstructive pulmonary disease","chronic asthmatic (obstructive) bronchitis","chronic bronchitis with airway obstruction","chronic bronchitis with emphysema","chronic emphysematous bronchitis","chronic obstructive asthma","chronic obstructive bronchitis","chronic obstructive tracheobronchitis"],"modern_v":"official26","codeFirst":[],"excludes1":["bronchitis due to chemicals, gases, fumes and vapors (J68.0)"],"excludes2":["chronic obstructive pulmonary disease [COPD] with acute bronchitis (J44.0)","lung diseases due to external agents (J60-J70)","bronchiectasis (J47.-)","chronic bronchitis NOS (J42)","chronic simple and mucopurulent bronchitis (J41.-)","chronic tracheitis (J42)","chronic tracheobronchitis (J42)","emphysema without chronic bronchitis (J43.-)","cystic fibrosis (E84.-)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["J44","J44.0","J44.8","J44.9"],"inclusionTerms":["Decompensated COPD","Decompensated COPD with (acute) exacerbation"],"sibling_titles":{"code":"J44.9","title":"Chronic obstructive pulmonary disease, unspecified","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Chronic obstructive pulmonary disease with (acute) exacerbation is a billable ICD-10-CM diagnosis code (J44.1). Includes: asthma with chronic obstructive pulmonary disease; chronic asthmatic (obstructive) bronchitis; chronic bronchitis with airway obstruction; chronic bronchitis with emphysema; chronic emphysematous bronchitis; chronic obstructive asthma; chronic obstructive bronchitis; chronic obstructive tracheobronchitis.","officialDefinition":"Chronic obstructive pulmonary disease with (acute) exacerbation is a billable ICD-10-CM diagnosis code (J44.1). Includes: asthma with chronic obstructive pulmonary disease; chronic asthmatic (obstructive) bronchitis; chronic bronchitis with airway obstruction; chronic bronchitis with emphysema; chronic emphysematous bronchitis; chronic obstructive asthma; chronic obstructive bronchitis; chronic obstructive tracheobronchitis. Inclusion terms: Decompensated COPD; Decompensated COPD with (acute) exacerbation. Excludes1 (not coded here): bronchitis due to chemicals, gases, fumes and vapors (J68.0). Excludes2 (not included here): chronic obstructive pulmonary disease [COPD] with acute bronchitis (J44.0); lung diseases due to external agents (J60-J70); bronchiectasis (J47.-); chronic bronchitis NOS (J42); chronic simple and mucopurulent bronchitis (J41.-); chronic tracheitis (J42); chronic tracheobronchitis (J42); emphysema without chronic bronchitis (J43.-); cystic fibrosis (E84.-). Code also: type of asthma, if applicable (J45.-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"bronchitis due to chemicals, gases, fumes and vapors (J68.0)":"J44","bronchiectasis (J47.-)":"J44","chronic bronchitis NOS (J42)":"J44","chronic simple and mucopurulent bronchitis (J41.-)":"J44","chronic tracheitis (J42)":"J44","chronic tracheobronchitis (J42)":"J44","emphysema without chronic bronchitis (J43.-)":"J44","cystic fibrosis (E84.-)":"J44","asthma with chronic obstructive pulmonary disease":"J44","chronic asthmatic (obstructive) bronchitis":"J44","chronic bronchitis with airway obstruction":"J44","chronic bronchitis with emphysema":"J44","chronic emphysematous bronchitis":"J44","chronic obstructive asthma":"J44","chronic obstructive bronchitis":"J44","chronic obstructive tracheobronchitis":"J44"},"hcc":{"mapped":true,"model":"CMS-HCC V28","paymentYear":"2026","categories":[{"hcc":"280","label":"Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders","family":"","suppresses":[]}],"otherModels":[{"model":"CMS-HCC V22","hcc":"111"},{"model":"RxHCC V08","hcc":"229"}]}}