J98Not billable, use a more specific code below

Other respiratory disorders

In Other diseases of the respiratory system (J96-J99), chapter 10: Diseases of the Respiratory System

12 billable codes under J98: 2 are an MCC, 2 are a CC; 2 map to HCC 280 (Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Excludes1: not coded here, use a different code

  • newborn apnea (P28.4-)
  • newborn sleep apnea (P28.3-)

Excludes2: not included here, code separately if applicable

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)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers COPD and asthma exacerbations, sequencing of acute respiratory failure, confirmed versus suspected identified influenza, ventilator associated pneumonia, and vaping-related disorders.

Read Section I.C.10 (page 56)

J98 MS-DRGs

As the principal diagnosis, the billable codes under J98 group to these 10 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.