J43 vs P25.0
J43 (Emphysema) compared with P25.0 (Interstitial emphysema originating in the perinatal period), 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. J43 carries an Excludes1 note covering P25.0: “neonatal interstitial emphysema (P25.0)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| J43Emphysema | P25.0Interstitial emphysema originating in the perinatal period | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Emphysema is a non-billable ICD-10-CM category code (J43). | Interstitial emphysema originating in the perinatal period is a billable ICD-10-CM diagnosis code (P25.0). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources