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.
Advertisements
Instructional notes
Use additional code: add a second code for this, listed after this one
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.
- Chronic Obstructive Pulmonary Disease [COPD] and Asthma (page 56)
- Acute Respiratory Failure (page 56)
- Influenza due to certain identified influenza viruses (page 57)
- Ventilator associated Pneumonia (page 57)
- Vaping-related disorders (page 58)
All codes under J98
J98 can't be used on a claim. Pick a billable code below; grey headings group them.
- J98.0Diseases of bronchus, not elsewhere classified
- J98.01Acute bronchospasm
- J98.09Other diseases of bronchus, not elsewhere classified
- J98.1Pulmonary collapse
- J98.11Atelectasis
- J98.19Other pulmonary collapse
- J98.2Interstitial emphysema
- J98.3Compensatory emphysema
- J98.4Other disorders of lung
- J98.5Diseases of mediastinum, not elsewhere classified
- J98.51Mediastinitis
- J98.59Other diseases of mediastinum, not elsewhere classified
- J98.6Disorders of diaphragm
- J98.8Other specified respiratory disorders
- J98.9Respiratory disorder, unspecified
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.
- DRG 205 Other Respiratory System Diagnoses with MCC (7 of 12 codes)
- DRG 206 Other Respiratory System Diagnoses without MCC (7 of 12 codes)
- DRG 791 Prematurity with Major Problems (5 of 12 codes)
- DRG 793 Full Term Neonate with Major Problems (5 of 12 codes)
- DRG 177 Respiratory Infections and Inflammations with MCC (2 of 12 codes)
- DRG 178 Respiratory Infections and Inflammations with CC (2 of 12 codes)
- DRG 179 Respiratory Infections and Inflammations without CC/MCC (2 of 12 codes)
- DRG 199 Pneumothorax with MCC (1 of 12 codes)
- DRG 200 Pneumothorax with CC (1 of 12 codes)
- DRG 201 Pneumothorax without CC/MCC (1 of 12 codes)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
