All ICD10 Codes
J43Non-billable

Emphysema

Diseases of the Respiratory System·Chronic lower respiratory diseases (J40-J4A)·category·FY 2026

Use a more specific code (5 billable)
J43.0Unilateral pulmonary emphysema [MacLeod's syndrome]J43.1Panlobular emphysemaJ43.2Centrilobular emphysemaJ43.8Other emphysemaJ43.9Emphysema, unspecified

CH10 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional Code
  • code, where applicable, 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)

J40-J4A Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Excludes2(Not included here. Code separately if applicable.)
  • cystic fibrosis (E84.-)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • compensatory emphysema (J98.3)
  • interstitial emphysema (J98.2)
  • mediastinal emphysema (J98.2)
  • neonatal interstitial emphysema (P25.0)
  • surgical (subcutaneous) emphysema (T81.82)
Excludes2(Not included here. Code separately if applicable.)
  • emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
  • emphysema with chronic (obstructive) bronchitis (J44.-)
  • emphysematous (obstructive) bronchitis (J44.-)
  • traumatic subcutaneous emphysema (T79.7)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J40-J4AChronic lower respiratory diseases (J40-J4A)
J43EmphysemaNot billable
J43.0Unilateral pulmonary emphysema [MacLeod's syndrome]Billable
J43.1Panlobular emphysemaBillable
J43.2Centrilobular emphysemaBillable
J43.8Other emphysemaBillable
J43.9Emphysema, unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.