J20 ICD-10-CM Code: Acute bronchitis
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 7 inclusion terms · 2 Excludes1 · 12 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for J20 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on J20 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- acute and subacute bronchitis (with) bronchospasm
- acute and subacute bronchitis (with) tracheitis
- acute and subacute bronchitis (with) tracheobronchitis, acute
- acute and subacute fibrinous bronchitis
- acute and subacute membranous bronchitis
- acute and subacute purulent bronchitis
- acute and subacute septic bronchitis
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- bronchitis NOS (J40) Compare J20 vs J40 →
- tracheobronchitis NOS (J40) Compare J20 vs J40 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- acute bronchitis with bronchiectasis (J47.0) Compare J20 vs J47.0 →
- acute bronchitis with chronic obstructive asthma (J44.0) Compare J20 vs J44.0 →
- acute bronchitis with chronic obstructive pulmonary disease (J44.0) Compare J20 vs J44.0 →
- allergic bronchitis NOS (J45.909) Compare J20 vs J45.909 →
- bronchitis due to chemicals, fumes and vapors (J68.0) Compare J20 vs J68.0 →
- chronic bronchitis NOS (J42) Compare J20 vs J42 →
- chronic mucopurulent bronchitis (J41.1) Compare J20 vs J41.1 →
- chronic obstructive bronchitis (J44.-) Compare J20 vs J44 →
- chronic obstructive tracheobronchitis (J44.-) Compare J20 vs J44 →
- chronic simple bronchitis (J41.0) Compare J20 vs J41.0 →
- chronic tracheobronchitis (J42) Compare J20 vs J42 →
- chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0) inherited from J20-J22Compare J20 vs J44.0 →
Coder workflow for J20
MedCoder structured workflow — derived from this code’s own official record
Before you code J20
- J20 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewJ20.0, J20.1, J20.2, J20.3, J20.4, J20.5, J20.6, J20.7, J20.8, J20.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with J20. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath J20?
Yes → Select that code and continue the checks below on its own page.
No → J20 cannot be reported as written; query for the specificity its subcategory needs.ReviewJ20.0, J20.1, J20.2, J20.3, J20.4, J20.5, J20.6, J20.7, J20.8, J20.9
- Does the documentation support a condition named in J20’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.ReviewJ40
Consider J20. Then confirm the code is valid for the date of service in the Verify section.
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).
- Acuity
- Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
Official instructions as workflow
Excludes1 — check before selecting J20(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with J20: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareJ40
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of J20(12 notes)
Coding workflow: The conditions named in this note are not included in J20. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareJ47.0, J44.0, J45.909, J68.0, J42, J41.1
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition J20 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
ReviewJ40
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.
Code Overview
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
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 structured relationships — computed from published CMS and AHRQ datasets
Other codes that name J20 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 2 Excludes1 notes: J40 — Bronchitis, not specified as acute or chronic, J98.01 — Acute bronchospasm.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Code Also instruction: D81.82 — Activated Phosphoinositide 3-kinase Delta Syndrome [APDS].
These codes suggest coding this condition alongside when both are present.
Contextual Map
Every relationship of J20 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 J20 with these 11 related codes in Claim Check
Hierarchy
- J00-J99 — Chapter 10: Diseases of the Respiratory System (J00-J99) (J00-J99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20-J22 — Other acute lower respiratory infections[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- J40 — Bronchitis, not specified as acute or chronic[Excludes1]: “bronchitis NOS (J40)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Excludes2
- J41.0 — Simple chronic bronchitis[Excludes2]: “chronic simple bronchitis (J41.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J41.1 — Mucopurulent chronic bronchitis[Excludes2]: “chronic mucopurulent bronchitis (J41.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J42 — Unspecified chronic bronchitis[Excludes2]: “chronic bronchitis NOS (J42)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J44 — Other chronic obstructive pulmonary disease[Excludes2]: “chronic obstructive bronchitis (J44.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J44.0 — Chronic obstructive pulmonary disease with (acute) lower respiratory infection[Excludes2]: “acute bronchitis with chronic obstructive asthma (J44.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J45.909 — Unspecified asthma, uncomplicated[Excludes2]: “allergic bronchitis NOS (J45.909)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J47.0 — Bronchiectasis with acute lower respiratory infection[Excludes2]: “acute bronchitis with bronchiectasis (J47.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J68.0 — Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors[Excludes2]: “bronchitis due to chemicals, fumes and vapors (J68.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes1 notes
- J40 — Bronchitis, not specified as acute or chronic[Excludes1]: “acute bronchitis (J20.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J98.01 — Acute bronchospasm[Excludes1]: “acute bronchitis with bronchospasm (J20.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code Also instructions
- D81.82 — Activated Phosphoinositide 3-kinase Delta Syndrome [APDS][Code Also]: “other acute respiratory tract infections (J00-J06; J20-J22)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (10)
- J20.0 — Acute bronchitis due to Mycoplasma pneumoniae[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20.1 — Acute bronchitis due to Hemophilus influenzae[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20.2 — Acute bronchitis due to streptococcus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20.3 — Acute bronchitis due to coxsackievirus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20.4 — Acute bronchitis due to parainfluenza virus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20.5 — Acute bronchitis due to respiratory syncytial virus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20.6 — Acute bronchitis due to rhinovirus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J20.7 — Acute bronchitis due to echovirus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 2 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can J20 be billed directly?
No. J20 (Acute bronchitis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) 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 structured 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 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.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
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. "J20 — Acute bronchitis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/j20-acute-bronchitis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionAcute bronchitis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to J20 in its code family, with their registry titles.
- J20.0 — Acute bronchitis due to Mycoplasma pneumoniae
- J20.1 — Acute bronchitis due to Hemophilus influenzae
- J20.2 — Acute bronchitis due to streptococcus
- J20.3 — Acute bronchitis due to coxsackievirus
- J20.4 — Acute bronchitis due to parainfluenza virus
- J20.5 — Acute bronchitis due to respiratory syncytial virus
- J20.6 — Acute bronchitis due to rhinovirus
- J20.7 — Acute bronchitis due to echovirus
- J20.8 — Acute bronchitis due to other specified organisms
- J20.9 — Acute bronchitis, unspecified