J44.89BillableNon-CCHCC 280

Other specified chronic obstructive pulmonary disease

Diseases of the Respiratory System·Other specified chronic obstructive pulmonary disease·subcategory·FY 2027

COPD: COPD (chronic obstructive pulmonary disease) is a group of lung diseases that make it hard to breathe and get worse over time. Normally, the airways and air sacs in your lungs are elastic or stretchy. When you breathe in, the airways bring air to the air sacs. The air sacs fill up with air, like a small balloon. When you breathe out, the air sacs deflate, and the air goes out. If you have COPD, less air flows in and out of your airways because of one or more problems:

Read more about copd on MedlinePlus · Source: MedlinePlus, National Library of Medicine

Also indexed as: Asthma, with, chronic obstructive bronchitis; Asthma, with, chronic obstructive pulmonary disease; Asthma, chronic obstructive; Bronchiolitis, chronic; Bronchitis, with, obstruction; Bronchitis, asthmatic, chronic; Bronchitis, chronic, with, airways obstruction; Bronchitis, chronic, asthmatic; Bronchitis, chronic, emphysematous; Bronchitis, chronic, obstructive; Bronchitis, emphysematous; Bronchitis, obstructive; Disease, lung, obstructive, with, asthma; Disease, lung, obstructive, with, bronchitis; Dyspnea, asthmatic, with, bronchitis, chronic; Obstruction, airway, with, bronchitis; Vanishing lung

Instructional notes

Includes: conditions that are coded here

  • Chronic asthmatic (obstructive) bronchitis
  • Chronic emphysematous bronchitis

Also applies, from J44: Other chronic obstructive pulmonary disease

These notes sit on J44 and apply to every code under it, including J44.89.

Includes: conditions that are coded here

  • 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

Excludes2: not included here, code separately if applicable

  • 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: add a code for this too, order depends on the encounter

  • type of asthma, if applicable (J45.-)

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

These notes sit on J40-J4B and apply to every code under it, including J44.89.

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 J44.89

If you are coding one of these, its note tells you to add J44.89 too (Code Also, Use Additional Code), code it first (Code First), or not use it together (Excludes1).

  • I27.841 Code Also: plastic (obstructive) bronchitis (J44.89)
  • J18.0 Excludes2: chronic bronchiolitis (J44.89)
  • J18.0 Excludes2: other specified chronic obstructive pulmonary disease (J44.89)
  • J21.9 Excludes1: chronic bronchiolitis (J44.89)
  • J45 Excludes2: asthma with chronic obstructive pulmonary disease (J44.89)
  • J45 Excludes2: chronic asthmatic (obstructive) bronchitis (J44.89)
  • J45 Excludes2: chronic obstructive asthma (J44.89)
  • J45 Excludes2: other specified chronic obstructive pulmonary disease (J44.89)

Code history

  • FY 2023: replaced J42 (Unspecified chronic bronchitis)