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J45.990 vs J98.01

J45.990 (Exercise induced bronchospasm) compared with J98.01 (Acute bronchospasm), 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. J98.01 carries an Excludes1 note covering J45.990: “asthma (J45.-)”

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. J98.01 carries an Excludes1 note covering J45.990: “exercise induced bronchospasm (J45.990)”

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

J45.990Exercise induced bronchospasmJ98.01Acute bronchospasm
Billing statusBillableBillable
ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionExercise induced bronchospasm is a billable ICD-10-CM diagnosis code (J45.990).Acute bronchospasm is a billable ICD-10-CM diagnosis code (J98.01).
Includes
allergic (predominantly) asthma
allergic bronchitis NOS
allergic rhinitis with asthma
atopic asthma
Use additional code
code to identify:
eosinophilic asthma (J82.83)
exposure to environmental tobacco smoke (Z77.22)
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