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B44.81 ICD-10-CM Code: Allergic bronchopulmonary aspergillosis

Compare with another codeCheck this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes2 · 6 code-also instructions
Risk adjustment
CMS-HCC V28: 1 category · CMS-HCC V22 category 112 · RxHCC V08 category 227

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Code alsoMay be needed with this code
  • , if applicable:
  • aspergilloma of other site - code to chronic infection of site
  • pulmonary aspergilloma (J4B)
  • pulmonary aspergillosis fungal ball (J4B)

+2 more in Instructions

Excludes2Not included here; may be reported together
  • hypersensitivity pneumonitis due to organic dust (J67.-)
  • mycosis fungoides (C84.0-)

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 196 — INTERSTITIAL LUNG DISEASE WITH MCC (MDC 04)
  • MS-DRG 197 — INTERSTITIAL LUNG DISEASE WITH CC (MDC 04)
  • MS-DRG 198 — INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC (MDC 04)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 280 — Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders

Other models: CMS-HCC V22 HCC 112 · RxHCC V08 HCC 227

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for B44.81 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on B44.81 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from B35-B49

Code Also

Additional codes that may be required to fully describe the encounter.

  • Code also, if applicable:
  • aspergilloma of other site - code to chronic infection of site
  • pulmonary aspergilloma (J4B)
  • pulmonary aspergillosis fungal ball (J4B)
  • pulmonary mycetoma (J4B)
  • sinus aspergilloma (J32.-)

Source: inherited from B44

Coder workflow for B44.81

MedCoder structured workflow — derived from this code’s own official record

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes2 — not part of B44.81(2 notes)

    Coding workflow: The conditions named in this note are not included in B44.81. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareJ67, C84.0

    See the official tabular notes · Guidelines I.A.12.b

  • Code Also — related condition(6 notes)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    ReviewJ4B, J32

    See the official tabular notes · Guidelines I.A.17

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse B44.81 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of B44.81 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • J67— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of hypersensitivity pneumonitis due to organic dust adds J67; it is not part of this code and both may be reported when both are documented.

    Full comparison: B44.81 vs J67 →

  • C84.0— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of mycosis fungoides adds C84.0; it is not part of this code and both may be reported when both are documented.

    Full comparison: B44.81 vs C84.0 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Allergic bronchopulmonary aspergillosis is a billable ICD-10-CM diagnosis code (B44.81).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name B44.81 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes2 note: J82 — Pulmonary eosinophilia, not elsewhere classified (via B44.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Code First instruction: M01 — Direct infections of joint in infectious and parasitic diseases classified elsewhere (via B44.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Referenced by 1 Code Also instruction: J4B — Pulmonary mycetoma (via B44.-).

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 9 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 196 (MDC 04), DRG 197 (MDC 04), DRG 198 (MDC 04).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INF004 — Fungal infections (default); INJ031 — Allergic reactions.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

J22 — Unspecified acute lower respiratory infection, J98.8 — Other specified respiratory disorders, J98.9 — Respiratory disorder, unspecified, N80.B1 — Endometriosis of pleura, N80.B2 — Endometriosis of lung, N80.B31 — Superficial endometriosis of diaphragm, N80.B32 — Deep endometriosis of diaphragm, N80.B39 — Endometriosis of diaphragm, unspecified depth

Same CMS-HCC risk category (V28)

CMS maps these diagnoses to the same Hierarchical Condition Category (Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders) for risk-adjusted payment.

J41.0 — Simple chronic bronchitis, J41.1 — Mucopurulent chronic bronchitis, J41.8 — Mixed simple and mucopurulent chronic bronchitis, J42 — Unspecified chronic bronchitis, J43.0 — Unilateral pulmonary emphysema [MacLeod's syndrome], J43.1 — Panlobular emphysema, J43.2 — Centrilobular emphysema, J43.8 — Other emphysema, J43.9 — Emphysema, unspecified, J44.0 — Chronic obstructive pulmonary disease with (acute) lower respiratory infection, J44.1 — Chronic obstructive pulmonary disease with (acute) exacerbation, J44.81 — Bronchiolitis obliterans and bronchiolitis obliterans syndrome, J44.89 — Other specified chronic obstructive pulmonary disease, J44.9 — Chronic obstructive pulmonary disease, unspecified, J47.0 — Bronchiectasis with acute lower respiratory infection, J47.1 — Bronchiectasis with (acute) exacerbation, J47.9 — Bronchiectasis, uncomplicated, J60 — Coalworker's pneumoconiosis, J61 — Pneumoconiosis due to asbestos and other mineral fibers, J62.0 — Pneumoconiosis due to talc dust, +58 more

Related risk categories

These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.

Lung Transplant Status/Complications, Cystic Fibrosis, Idiopathic Pulmonary Fibrosis and Lung Involvement in Systemic Sclerosis, Severe Persistent Asthma

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Fungal infections, Allergic reactions).

B42.9 — Sporotrichosis, unspecified, B43.0 — Cutaneous chromomycosis, B43.1 — Pheomycotic brain abscess, B43.2 — Subcutaneous pheomycotic abscess and cyst, B43.8 — Other forms of chromomycosis, B43.9 — Chromomycosis, unspecified, B44.0 — Invasive pulmonary aspergillosis, B44.1 — Other pulmonary aspergillosis, B44.2 — Tonsillar aspergillosis, B44.7 — Disseminated aspergillosis, B44.89 — Other forms of aspergillosis, B44.9 — Aspergillosis, unspecified, B45.0 — Pulmonary cryptococcosis, B45.1 — Cerebral cryptococcosis, B45.2 — Cutaneous cryptococcosis, B45.3 — Osseous cryptococcosis, B45.7 — Disseminated cryptococcosis, B45.8 — Other forms of cryptococcosis, B45.9 — Cryptococcosis, unspecified, B46.0 — Pulmonary mucormycosis, +199 more

Contextual Map

Every relationship of B44.81 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run B44.81 with these 3 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes

Referenced by Code First instructions

Referenced by Code Also instructions

  • J4B — Pulmonary mycetoma[Code Also](via B44.-): “aspergillosis (B44.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Clinical classification (CCSR)

Risk adjustment (CMS-HCC)

  • HCC 280 — Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders [CMS-HCC]— CMS-HCC V28 · 2026

MS-DRG Grouper

MDC crossing

  • MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 4,000 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Aspergillosis (with pneumonia), bronchopulmonary, allergic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Aspergillosis (with pneumonia), pulmonary NEC, allergic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes

Change history (8)

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Risk adjustment Official source data
2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "B44.81 — Allergic bronchopulmonary aspergillosis." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/b44.81-allergic-bronchopulmonary-aspergillosis

Change history

Changed in FY2027, the release in force: Code Also note added; Includes note removed.

  • FY2027 — October 1, 2026
    Code Also note added
    sinus aspergilloma (J32.-)
    FY2027 changes
  • FY2027 — October 1, 2026
    Code Also note added
    pulmonary mycetoma (J4B)
    FY2027 changes
  • FY2027 — October 1, 2026
    Code Also note added
    pulmonary aspergillosis fungal ball (J4B)
    FY2027 changes
  • FY2027 — October 1, 2026
    Code Also note added
    pulmonary aspergilloma (J4B)
    FY2027 changes
  • FY2027 — October 1, 2026
    Code Also note added
    aspergilloma of other site - code to chronic infection of site
    FY2027 changes
  • FY2027 — October 1, 2026
    Code Also note added
    , if applicable:
    FY2027 changes
  • FY2027 — October 1, 2026
    Includes note removed
    aspergilloma
    FY2027 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Allergic bronchopulmonary aspergillosis

Nearest Codes in This Family

Official ICD-10-CM classifications closest to B44.81 in its code family, with their registry titles.

View all codes in the B44 family