J82.83 ICD-10-CM Code: Eosinophilic asthma
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 5 Excludes2 · 5 code-first instructions
- Risk adjustment
- RxHCC V08 category 229
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 v43, 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.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for J82.83 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 J82.83 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.
- pulmonary eosinophilia due to aspergillosis (B44.-) Compare J82.83 vs B44 →
- pulmonary eosinophilia due to drugs (J70.2-J70.4) Compare J82.83 vs J70.2 →
- pulmonary eosinophilia due to specified parasitic infection (B50-B83) Compare J82.83 vs B50 →
- pulmonary eosinophilia due to systemic connective tissue disorders (M30-M36) Compare J82.83 vs M30 →
- pulmonary infiltrate NOS (R91.8) Compare J82.83 vs R91.8 →
Source: inherited from J82
Coder workflow for J82.83
MedCoder structured workflow — derived from this code’s own official record
Choose the right path
- Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then J82.83.
No → Continue; do not add an underlying condition the record does not document.
Consider J82.83. 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).
- The underlying (etiologic) condition
- Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
Official instructions as workflow
Excludes2 — not part of J82.83(5 notes)
Coding workflow: The conditions named in this note are not included in J82.83. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Code First — sequencing check(5 notes)
Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before J82.83. Do not add an underlying condition the record does not document.
ReviewJ45.2, J45.3, J45.4, J45.5
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The underlying condition the Code First note names is documented alongside this condition.
Coding question: How are the two sequenced?
Path: Review the Code First note.
Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).
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.
Indexed Clinical Terms (3)
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.
Verify Before Coding
- CC as a secondary diagnosis (FY2026). 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 structured relationships — computed from published CMS and AHRQ datasets
Other codes that name J82.83 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: D72.1 — Eosinophilia (via J82.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Use Additional Code instruction: J45 — Asthma.
These codes instruct coders to additionally report this code when it applies.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 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 4 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):RSP016 — Other specified and unspecified lower respiratory disease (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.
J82.81 — Chronic eosinophilic pneumonia, J82.82 — Acute eosinophilic pneumonia, J82.89 — Other pulmonary eosinophilia, not elsewhere classified
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified and unspecified lower respiratory disease).
B46.0 — Pulmonary mucormycosis, B67.1 — Echinococcus granulosus infection of lung, J18.2 — Hypostatic pneumonia, unspecified organism, J22 — Unspecified acute lower respiratory infection, J4A.0 — Restrictive allograft syndrome, J81.0 — Acute pulmonary edema, J81.1 — Chronic pulmonary edema, J82 — Pulmonary eosinophilia, not elsewhere classified, J82.81 — Chronic eosinophilic pneumonia, J82.82 — Acute eosinophilic pneumonia, J82.89 — Other pulmonary eosinophilia, not elsewhere classified, J84.01 — Alveolar proteinosis, J84.02 — Pulmonary alveolar microlithiasis, J84.03 — Idiopathic pulmonary hemosiderosis, J84.09 — Other alveolar and parieto-alveolar conditions, J84.10 — Pulmonary fibrosis, unspecified, J84.111 — Idiopathic interstitial pneumonia, not otherwise specified, J84.112 — Idiopathic pulmonary fibrosis, J84.113 — Idiopathic non-specific interstitial pneumonitis, J84.114 — Acute interstitial pneumonitis, +59 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Asthma, asthmatic”; these codes share that main term but sit in a different category of the Tabular List.
J45.30 — Mild persistent asthma, uncomplicated (mild persistent), J45.31 — Mild persistent asthma with (acute) exacerbation (mild persistent, with, exacerbation), J45.32 — Mild persistent asthma with status asthmaticus (mild persistent, with, status asthmaticus), J45.40 — Moderate persistent asthma, uncomplicated (moderate persistent), J45.41 — Moderate persistent asthma with (acute) exacerbation (moderate persistent, with, exacerbation), J45.42 — Moderate persistent asthma with status asthmaticus (moderate persistent, with, status asthmaticus), J45.50 — Severe persistent asthma, uncomplicated (severe persistent), J45.51 — Severe persistent asthma with (acute) exacerbation (severe persistent, with, exacerbation), J45.52 — Severe persistent asthma with status asthmaticus (severe persistent, with, status asthmaticus), J45.901 — Unspecified asthma with (acute) exacerbation (with, exacerbation), J45.902 — Unspecified asthma with status asthmaticus (with, status asthmaticus), J45.909 — Unspecified asthma, uncomplicated, J45.991 — Cough variant asthma (cough variant), J45.998 — Other asthma (platinum), J60 — Coalworker's pneumoconiosis (miner's), J62.8 — Pneumoconiosis due to other dust containing silica (potter's), J64 — Unspecified pneumoconiosis (pneumoconiotic NEC), J67.8 — Hypersensitivity pneumonitis due to other organic dusts (wood), J68.3 — Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors (due to, inhalation of fumes), J69.8 — Pneumonitis due to inhalation of other solids and liquids (detergent), +14 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Contextual Map
Every relationship of J82.83 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 J82.83 with these 6 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
Code First
- J45.2 — Mild intermittent asthma[Code First]: “mild intermittent asthma (J45.2-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J45.3 — Mild persistent asthma[Code First]: “mild persistent asthma (J45.3-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J45.4 — Moderate persistent asthma[Code First]: “moderate persistent asthma (J45.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- J45.5 — Severe persistent asthma[Code First]: “severe persistent asthma (J45.5-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- D72.1 — Eosinophilia[Excludes2](via J82.-): “pulmonary eosinophilia (J82.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Use Additional Code instructions
- J45 — Asthma[Use Additional Code]: “eosinophilic asthma (J82.83)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- RSP016 — Other specified and unspecified lower respiratory disease[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 196 — INTERSTITIAL LUNG DISEASE WITH MCC[MS-DRG]: “INTERSTITIAL LUNG DISEASE WITH MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 197 — INTERSTITIAL LUNG DISEASE WITH CC[MS-DRG]: “INTERSTITIAL LUNG DISEASE WITH CC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 198 — INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC[MS-DRG]: “INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
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. 3,998 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Asthma, asthmatic (bronchial) (catarrh) (spasmodic), eosinophilic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Asthma, asthmatic (bronchial) (catarrh) (spasmodic), pulmonary eosinophilic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Eosinophilia (allergic) (idiopathic) (secondary), pulmonary NEC, asthmatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes
- J82 — Pulmonary eosinophilia, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J82.8 — Pulmonary eosinophilia, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J82.81 — Chronic eosinophilic pneumonia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J82.82 — Acute eosinophilic pneumonia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- J82.89 — Other pulmonary eosinophilia, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Change history
- FY2021 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2021
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
- 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 — v43 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. "J82.83 — Eosinophilic asthma." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/j82.83-eosinophilic-asthma
Change history
- FY2021 — October 1, 2020Added to the code setEosinophilic asthmaFY2021 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to J82.83 in its code family, with their registry titles.