J47.0BillableCCHCC 280

Bronchiectasis with acute lower respiratory infection

Diseases of the Respiratory System·Bronchiectasis·subcategory·FY 2027

Bronchial Disorders: When you breathe in, the air travels down through your trachea (windpipe). It then goes through two tubes to your lungs. These tubes are your bronchi. Bronchial disorders can make it hard for you to breathe.

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

Also indexed as: Bronchiectasis, with, acute, bronchitis; Bronchiectasis, with, acute, lower respiratory infection; Bronchitis, acute or subacute, with, bronchiectasis; Dilatation, bronchial, with, lower respiratory infection; Disease, lung, obstructive, with, bronchiectasis, with, lower respiratory infection; Mounier-Kuhn syndrome, with bronchiectasis, lower respiratory infection; Mounier-Kuhn syndrome, acquired, with bronchiectasis, with, lower respiratory infection; Obstruction, airway, with, bronchiectasis, with, lower respiratory infection; Obstruction, airway, chronic, with, bronchiectasis, with, lower respiratory infection; Syndrome, Mounier-Kuhn, with bronchiectasis, with, lower respiratory infection; Syndrome, Mounier-Kuhn, acquired, with bronchiectasis, with, lower respiratory infection; Tracheobronchomegaly, with bronchiectasis, with, lower respiratory infection; Tracheobronchomegaly, acquired, with bronchiectasis, with, lower respiratory infection

Instructional notes

Includes: conditions that are coded here

  • Bronchiectasis with acute bronchitis

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

  • to identify infection, if applicable

Also applies, from J47: Bronchiectasis

These notes sit on J47 and apply to every code under it, including J47.0.

Includes: conditions that are coded here

  • bronchiolectasis

Excludes1: not coded here, use a different code

  • congenital bronchiectasis (Q33.4)
  • tuberculous bronchiectasis (current disease) (A15.0)

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 J47.0.

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.-)

Where J47.0 sits

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 J47.0

If you are coding one of these, its note tells you to add J47.0 too (Code Also, Use Additional Code), code it first (Code First), or not use it together (Excludes1).

  • J20 Excludes2: acute bronchitis with bronchiectasis (J47.0)

ICD-9-CM equivalent

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

  • 494.1 Bronchiectasis with acute exacerbation (approximate)
ICD-9 to ICD-10 converter