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J47.0 ICD-10-CM Code: Bronchiectasis with acute lower respiratory infection

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

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.

Use additional codeReport with this code when documented
  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)

+3 more in Instructions

Excludes1Never report with this code
  • congenital bronchiectasis (Q33.4)
  • tuberculous bronchiectasis (current disease) (A15.0)
  • bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Code alsoMay be needed with this code
  • to identify infection, if applicable
Excludes2Not included here; may be reported together
  • cystic fibrosis (E84.-)
IncludesWhat this code covers
  • bronchiolectasis
  • Bronchiectasis with acute bronchitis

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 190 — CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC (MDC 04)
  • MS-DRG 191 — CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC (MDC 04)
  • MS-DRG 192 — CHRONIC OBSTRUCTIVE PULMONARY 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 229

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 J47.0 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 J47.0 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.

  • bronchiolectasis

Source: inherited from J47

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Bronchiectasis with acute 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).

Excludes2 — Not Included Here

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

Source: inherited from J40-J4B

Code Also

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

  • to identify infection, if applicable

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Source: inherited from J47

Coder workflow for J47.0

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

Before you code J47.0

  1. J47.0’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with J47.0. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in J47.0’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.

    ReviewQ33.4, A15.0, J68.0

Consider J47.0. Then work the Use Additional Code note and review the Code Also note, and 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).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Excludes1 — check before selecting J47.0(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with J47.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareQ33.4, A15.0, J68.0

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

  • Excludes2 — not part of J47.0(1 note)

    Coding workflow: The conditions named in this note are not included in J47.0. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareE84

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

  • Use Additional Code — after identifying J47.0(7 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with J47.0 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewZ77.22, P96.81, Z87.891, Z57.31, F17, Z72.0

    See the official tabular notes · Guidelines I.A.13

  • Code Also — related condition(1 note)

    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.

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

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition J47.0 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).

ReviewQ33.4, A15.0, J68.0

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is J47.0 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with J47.0?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewZ77.22, P96.81, Z87.891, Z57.31, F17, Z72.0

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.

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

Bronchiectasis with acute lower respiratory infection is a billable ICD-10-CM diagnosis code (J47.0).

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

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 7 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
  3. 3 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  4. 1 Excludes2 entry — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

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 J47.0 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 Excludes2 notes: J20 — Acute bronchitis, J44 — Other chronic obstructive pulmonary disease (via J47.-).

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

Referenced by 2 Code Also instructions across 2 chapters: D81.82 — Activated Phosphoinositide 3-kinase Delta Syndrome [APDS] (via J47.-), I27.23 — Pulmonary hypertension due to lung diseases and hypoxia (via J47.-).

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 21 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 190 (MDC 04), DRG 191 (MDC 04), DRG 192 (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):RSP008 — Chronic obstructive pulmonary disease and bronchiectasis (default).

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.

A17.9 — Tuberculosis of nervous system, unspecified, A18.82 — Tuberculosis of other endocrine glands, A18.84 — Tuberculosis of heart, A18.89 — Tuberculosis of other sites, J09.X2 — Influenza due to identified novel influenza A virus with other respiratory manifestations, J10.08 — Influenza due to other identified influenza virus with other specified pneumonia, J10.1 — Influenza due to other identified influenza virus with other respiratory manifestations, J11.1 — Influenza due to unidentified influenza virus with other respiratory manifestations, J44.81 — Bronchiolitis obliterans and bronchiolitis obliterans syndrome, J44.89 — Other specified chronic obstructive pulmonary disease, J44.9 — Chronic obstructive pulmonary disease, unspecified, J47.1 — Bronchiectasis with (acute) exacerbation, J4A.0 — Restrictive allograft syndrome, J4A.8 — Other chronic lung allograft dysfunction, J4A.9 — Chronic lung allograft dysfunction, unspecified, J68.1 — Pulmonary edema due to chemicals, gases, fumes and vapors, J68.4 — Chronic respiratory conditions due to chemicals, gases, fumes and vapors, J68.8 — Other respiratory conditions due to chemicals, gases, fumes and vapors, J68.9 — Unspecified respiratory condition due to chemicals, gases, fumes and vapors, Q33.4 — Congenital bronchiectasis

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.

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, J47.1 — 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, J62.8 — Pneumoconiosis due to other dust containing silica, J63.0 — Aluminosis (of lung), J63.1 — Bauxite fibrosis (of lung), J63.2 — Berylliosis, J63.3 — Graphite fibrosis (of lung), +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 category (Chronic obstructive pulmonary disease and bronchiectasis).

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, J47.1 — Bronchiectasis with (acute) exacerbation, J47.9 — Bronchiectasis, uncomplicated, J4A.8 — Other chronic lung allograft dysfunction, J4A.9 — Chronic lung allograft dysfunction, unspecified

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Bronchitis”, “Obstruction, obstructed, obstructive”, “Tracheobronchomegaly”, …; these codes share that main term but sit in a different category of the Tabular List.

J42 — Unspecified chronic bronchitis (senile), J43.9 — Emphysema, unspecified (airway, with, emphysema), J44.0 — Chronic obstructive pulmonary disease with (acute) lower respiratory infection (asthmatic, chronic, with, acute lower respiratory infection), J44.1 — Chronic obstructive pulmonary disease with (acute) exacerbation (asthmatic, chronic, with, exacerbation), J44.89 — Other specified chronic obstructive pulmonary disease (obstructive), J44.9 — Chronic obstructive pulmonary disease, unspecified (airway, chronic), J45.9 — Other and unspecified asthma (asthmatic), J45.901 — Unspecified asthma with (acute) exacerbation (allergic, with, exacerbation), J45.902 — Unspecified asthma with status asthmaticus (allergic, with, status asthmaticus), J45.909 — Unspecified asthma, uncomplicated (allergic), J62.8 — Pneumoconiosis due to other dust containing silica (moulder's), J67.9 — Hypersensitivity pneumonitis due to unspecified organic dust (airway, with, allergic alveolitis), J68.0 — Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors (chemical), J68.4 — Chronic respiratory conditions due to chemicals, gases, fumes and vapors (chemical, chronic), J68.9 — Unspecified respiratory condition due to chemicals, gases, fumes and vapors (airway, due to, inhalation of fumes or vapors), J69.0 — Pneumonitis due to inhalation of food and vomit (aspiration), J70.0 — Acute pulmonary manifestations due to radiation (acute or subacute, due to, radiation), J70.1 — Chronic and other pulmonary manifestations due to radiation (chronic, due to, radiation), J95.03 — Malfunction of tracheostomy stoma (tracheostomy airway), J98.09 — Other diseases of bronchus, not elsewhere classified (acquired), +160 more

Contextual Map

Every relationship of J47.0 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 J47.0 with these 4 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes

Referenced by Code Also instructions

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 (13)

  • Bronchiectasis (cylindrical) (diffuse) (fusiform) (localized) (saccular), with, acute, bronchitis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Bronchiectasis (cylindrical) (diffuse) (fusiform) (localized) (saccular), with, acute, lower respiratory infection[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous), acute or subacute (with bronchospasm or obstruction), with, bronchiectasis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Dilatation, bronchial, with, lower respiratory infection[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Disease, diseased, lung, obstructive (chronic), with, bronchiectasis, with, lower respiratory infection[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Mounier-Kuhn syndrome, acquired, with bronchiectasis, with, lower respiratory infection[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Mounier-Kuhn syndrome, with bronchiectasis, lower respiratory infection[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Obstruction, obstructed, obstructive, airway, chronic, with, bronchiectasis, with, lower respiratory infection[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • and 5 more

Nearest codes

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

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 (13)

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. "J47.0 — Bronchiectasis with acute lower respiratory infection." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/j47.0-bronchiectasis-with-acute-lower-respiratory-infection

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Bronchiectasis with acute lower respiratory infection

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, 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 J47.0 in its code family, with their registry titles.

View all codes in the J47 family