J41.0BillableNon-CCHCC 280

Simple chronic bronchitis

Diseases of the Respiratory System·Simple and mucopurulent chronic bronchitis·subcategory·FY 2027

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

Also indexed as: Bronchitis, catarrhal, chronic; Bronchitis, chronic, catarrhal; Bronchitis, chronic, due to, tobacco smoking; Bronchitis, chronic, non-obstructive; Bronchitis, chronic, simple; Bronchitis, smokers'; Cough, smokers'; Smoker's, bronchitis; Smoker's, cough

Instructional notes

Also applies, from J41: Simple and mucopurulent chronic bronchitis

These notes sit on J41 and apply to every code under it, including J41.0.

Excludes2: not included here, code separately if applicable

  • chronic bronchitis NOS (J42)
  • chronic obstructive bronchitis (J44.-)

Use additional code: add a second code for this, listed after this one

  • code 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)

Also applies, from Chronic lower respiratory diseases (J40-J4B)

These notes sit on J40-J4B and apply to every code under it, including J41.0.

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.-)

MS-DRGs

As the principal diagnosis, this code groups 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.

Codes whose notes mention J41.0

If you are coding one of these, its note tells you to add J41.0 too (Code Also, Use Additional Code), code it first (Code First), or not use it together (Excludes1).

  • J20 Excludes2: chronic simple bronchitis (J41.0)
  • R05 Excludes1: smoker's cough (J41.0)

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 491.0 Simple chronic bronchitis
ICD-9 to ICD-10 converter