J43 vs T81.82
J43 (Emphysema) compared with T81.82 (Emphysema (subcutaneous) resulting from a procedure), 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 T81.82: “surgical (subcutaneous) emphysema (T81.82)”
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 | T81.82Emphysema (subcutaneous) resulting from a procedure | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Emphysema is a non-billable ICD-10-CM category code (J43). | Emphysema (subcutaneous) resulting from a procedure is a non-billable ICD-10-CM category code (T81.82). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T81 |
| Use additional code | — | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62-Y82) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources