Mild persistent asthma
Diseases of the Respiratory System·Asthma·subcategory·FY 2027
3 billable codes under J45.3: 2 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Asthma: Asthma is a chronic (long-term) lung disease. It affects your airways, the tubes that carry air in and out of your lungs. When you have asthma, your airways can become inflamed and narrowed. This can cause wheezing, coughing, and tightness in your chest. When these symptoms get worse than usual, it is called an asthma attack or flare-up.
Read more about asthma on MedlinePlus · Source: MedlinePlus, National Library of Medicine
Instructional notes
Also applies, from J45: Asthma
These notes sit on J45 and apply to every code under it, including J45.3.
Includes: conditions that are coded here
- allergic (predominantly) asthma
- allergic bronchitis NOS
- allergic rhinitis with asthma
- atopic asthma
- extrinsic allergic asthma
- hay fever with asthma
- idiosyncratic asthma
- intrinsic nonallergic asthma
- nonallergic asthma
Excludes1: not coded here, use a different code
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 J45.3.
All codes under J45.3
J45.3 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 J45.3 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 202 Bronchitis and Asthma with CC/MCC (3 of 3 codes)
- DRG 203 Bronchitis and Asthma without CC/MCC (3 of 3 codes)
- DRG 791 Prematurity with Major Problems (1 of 3 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 3 codes)
Codes whose notes mention J45.3
If you are coding one of these, its note tells you to add J45.3 too (Code Also, Use Additional Code), code it first (Code First), or not use it together (Excludes1).
- J82.83 Code First: mild persistent asthma (J45.3-)
