COPD ICD-10-CM Codes

Chronic obstructive pulmonary disease

Category J44 separates an acute lower respiratory infection from an acute exacerbation.

• J44.0Chronic obstructive pulmonary disease with (acute) lower respiratory infection
  ICD-10-CMBillableOfficial index term
  Why this matched

  • Matched through the ICD-10-CM Alphabetic Index.
  • Official term: “Disease, diseased, pulmonary, chronic obstructive, with, acute bronchitis”
• J44.1Chronic obstructive pulmonary disease with (acute) exacerbation
  ICD-10-CMBillableOfficial index term
  Official instructionsExcludes2 12
  Why this matched

  • Matched through the ICD-10-CM Alphabetic Index.
  • Official term: “Disease, diseased, pulmonary, chronic obstructive, decompensated”
• J44.9Chronic obstructive pulmonary disease, unspecified
  ICD-10-CMBillableOfficial index term
  Official instructionsExcludes2 11
  Why this matched

  • Matched through the ICD-10-CM Alphabetic Index.
  • Official term: “Disease, diseased, pulmonary, chronic obstructive”
• J44Other chronic obstructive pulmonary disease
  ICD-10-CMCategoryNot billableOfficial inclusion term
  Official instructionsExcludes1 1Excludes2 5Code Also 1
  Why this matched

  • Matched through an official inclusion term printed at this code.
  • Official term: “asthma with chronic obstructive pulmonary disease”

Emphysema

• J43Emphysema
  ICD-10-CMCategoryNot billableExact title match
  Official instructionsExcludes1 5Excludes2 4
  Why this matched

  • The official ICD-10-CM title is the searched wording.

  5 codes below, all billable

  • J43.0Unilateral pulmonary emphysema [MacLeod's syndrome]Billable
  • J43.1Panlobular emphysemaBillable
  • J43.2Centrilobular emphysemaBillable
  • J43.8Other emphysemaBillable

  View all 5 billable child codes →
• J43.9Emphysema, unspecified
  ICD-10-CMBillableOfficial index term
  Why this matched

  • Matched through the ICD-10-CM Alphabetic Index.
  • Official term: “Emphysema”
• J43.8Other emphysema
  ICD-10-CMBillableOfficial index term
  Why this matched

  • Matched through the ICD-10-CM Alphabetic Index.
  • Official term: “Emphysema, specified NEC”

Chronic bronchitis

• J42Unspecified chronic bronchitis
  ICD-10-CMBillableOfficial index term
  Official instructionsExcludes1 5Excludes2 1Use Additional Code 6Code Also 1
  Why this matched

  • Matched through the ICD-10-CM Alphabetic Index.
  • Official term: “Bronchitis, chronic”
• J41.0Simple chronic bronchitis
  ICD-10-CMBillableOfficial index term
  Why this matched

  • Matched through the ICD-10-CM Alphabetic Index.
  • Official term: “Bronchitis, chronic, simple”
• J41Simple and mucopurulent chronic bronchitis
  ICD-10-CMCategoryNot billableOfficial tabular terminology
  Official instructionsExcludes1 1Excludes2 3Use Additional Code 6
  Why this matched

  • Matched through official tabular terminology.