Simple and mucopurulent chronic bronchitis
Diseases of the Respiratory System·Chronic lower respiratory diseases (J40-J4B)·category·FY 2027
3 billable codes under J41: none are a CC or MCC; all map to HCC 280 (Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders).An HCC counts toward a Medicare Advantage patient's risk score.
Chronic Bronchitis: Chronic bronchitis is a type of COPD (chronic obstructive pulmonary disease). COPD is a group of lung diseases that make it hard to breathe and get worse over time. The other main type of COPD is emphysema. Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person.
Read more about chronic bronchitis on MedlinePlus · Source: MedlinePlus, National Library of Medicine
Instructional notes
Excludes2: not included here, code separately if applicable
Use additional code: add a second code for this, listed after this one
Also applies, from Chronic lower respiratory diseases (J40-J4B)
These notes sit on J40-J4B and apply to every code under it, including J41.
All codes under J41
J41 can't be used on a claim. Pick a billable code below; grey headings group them.
MS-DRGs
As the principal diagnosis, the billable codes under J41 group to these MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 190 Chronic Obstructive Pulmonary Disease with MCC (2 of 3 codes)
- DRG 191 Chronic Obstructive Pulmonary Disease with CC (2 of 3 codes)
- DRG 192 Chronic Obstructive Pulmonary Disease without CC/MCC (2 of 3 codes)
- DRG 202 Bronchitis and Asthma with CC/MCC (1 of 3 codes)
- DRG 203 Bronchitis and Asthma without CC/MCC (1 of 3 codes)
Codes whose notes mention J41
If you are coding one of these, its note tells you to add J41 too (Code Also, Use Additional Code), code it first (Code First), or not use it together (Excludes1).