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Compare/J42 vs J44

J42 vs J44

J42 (Unspecified chronic bronchitis) compared with J44 (Other chronic obstructive pulmonary disease), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. J42 carries an Excludes1 note covering J44: “chronic asthmatic bronchitis (J44.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. J42 carries an Excludes1 note covering J44: “chronic bronchitis with airways obstruction (J44.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. J42 carries an Excludes1 note covering J44: “chronic emphysematous bronchitis (J44.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Yes, when both are documented. J44 carries an Excludes2 note covering J42: “chronic bronchitis NOS (J42)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. J44 carries an Excludes2 note covering J42: “chronic tracheitis (J42)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. J44 carries an Excludes2 note covering J42: “chronic tracheobronchitis (J42)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

J42Unspecified chronic bronchitisJ44Other chronic obstructive pulmonary disease
Billing statusBillableNon-billable header

Report instead: J44.0, J44.1, J44.81, J44.89, J44.9

ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionUnspecified chronic bronchitis is a billable ICD-10-CM diagnosis code (J42).Other chronic obstructive pulmonary disease is a non-billable ICD-10-CM category code (J44).
Includes
Chronic bronchitis NOS
Chronic tracheitis
Chronic tracheobronchitis
asthma with chronic obstructive pulmonary disease
chronic asthmatic (obstructive) bronchitis
chronic bronchitis with airway obstruction
chronic bronchitis with emphysema
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources