J43 vs J44
J43 (Emphysema) compared with J44 (Other chronic obstructive pulmonary disease), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. J43 carries an Excludes2 note covering J44: “emphysema with chronic (obstructive) bronchitis (J44.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. J43 carries an Excludes2 note covering J44: “emphysematous (obstructive) bronchitis (J44.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. J44 carries an Excludes2 note covering J43: “emphysema without chronic bronchitis (J43.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| J43Emphysema | J44Other chronic obstructive pulmonary disease | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | J00-J99 — Diseases of the Respiratory System (J00-J99) |
| Definition | Emphysema is a non-billable ICD-10-CM category code (J43). | Other chronic obstructive pulmonary disease is a non-billable ICD-10-CM category code (J44). |
| Includes | — | asthma with chronic obstructive pulmonary disease chronic asthmatic (obstructive) bronchitis chronic bronchitis with airway obstruction chronic bronchitis with emphysema |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources