Chronic obstructive pulmonary disease with (acute) lower respiratory infection

ValidICD-10-CM diagnosis code.

Valid for claims with a date of service in the current code year.

Valid FY2016 onwards.

What has happened to this code

Every change the publisher made, from 2007 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2007 Added to the draft code set draft Chronic obstructive pulmonary disease with acute lower respiratory infection
FY2020 Description revised ~~Chronic obstructive pulmonary disease with acute lower respiratory infection~~ Chronic obstructive pulmonary disease with (acute) lower respiratory infection

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from J44 Other chronic obstructive pulmonary disease

Excludes2 - not included here

bronchiectasis (J47.-)
chronic bronchitis NOS (J42)
chronic simple and mucopurulent bronchitis (J41.-)
chronic tracheitis (J42)
chronic tracheobronchitis (J42)
emphysema without chronic bronchitis (J43.-)

Code also

type of asthma, if applicable (J45.-)

Includes

asthma with chronic obstructive pulmonary disease
chronic asthmatic (obstructive) bronchitis
chronic bronchitis with airway obstruction
chronic bronchitis with emphysema
chronic emphysematous bronchitis
chronic obstructive asthma
chronic obstructive bronchitis
chronic obstructive tracheobronchitis

Inherited from the J40-J4B section Chronic lower respiratory diseases (J40-J4B)

Excludes1 - never coded here

bronchitis due to chemicals, gases, fumes and vapors (J68.0)

Excludes2 - not included here

cystic fibrosis (E84.-)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

copd
Cold > chest
Cold > on lung
Cold > bronchial
Tracheobronchitis
Postsurgery status
Effusion > bronchial
Status > asthmaticus
Bronchitis > croupous
Bronchitis > subacute
Bronchitis > exudative
Irritation > bronchial
Reactive airway disease
Laryngotracheobronchitis
Catarrh, catarrhal > lung
Catarrh, catarrhal > chest
Disease, diseased > pulmonary
Bronchitis > catarrhal > acute
Catarrh, catarrhal > bronchial
Catarrh, catarrhal > pulmonary
Congestion, congestive > trachea
Bronchitis > under l5 years of age
Stasis > bronchus > with infection
Disease, diseased > reactive airway
Irritable, irritability > bronchial
Disease, diseased > airway > reactive
Bronchiolitis > due to > external agent
Bronchospasm > with > bronchitis, acute
Bronchitis > in those under l5 years age
Bronchitis > purulent > acute or subacute
Bronchitis > viral NEC, acute or subacute
Infection, infected, infective > bronchus
Bronchitis > suppurative > acute or subacute
Inflammation, inflamed, inflammatory > bronchi
Inflammation, inflamed, inflammatory > trachea
Bronchitis > pseudomembranous, acute or subacute
Tracheitis > with > bronchitis > acute or subacute
Disease, diseased > lung > obstructive > with > acute > bronchitis
Bronchitis > asthmatic > chronic > with > acute lower respiratory infection
Bronchitis > acute or subacute > with > chronic obstructive pulmonary disease

Showing 40 of 47 index phrases.

Codes in the same group

Code	Description	Status
J44.1	Chronic obstructive pulmonary disease with (acute) exacerbation	Valid
J44.8	Other specified chronic obstructive pulmonary disease	Not billable
J44.9	Chronic obstructive pulmonary disease, unspecified	Valid