J00-J99 ICD 10 Codes interval for

Diseases of the respiratory system

ICD 10 Codes related to Diseases of the respiratory system

Diseases and conditions of the respiratory system fall into two categories: Infections, such as influenza, bacterial pneumonia and enterovirus respiratory virus, and chronic diseases, such as asthma and chronic obstructive pulmonary disease (COPD) sometimes called chronic bronchitis or emphysema, is a chronic and progressive disease where the air flow in and out of the lungs decreases, making it harder to breathe.

Codes ICD 10 CM Code description
J00-J06 Acute upper respiratory infections
J09-J18 Influenza and pneumonia
J20-J22 Other acute lower respiratory infections
J30-J39 Other diseases of upper respiratory tract
J40-J47 Chronic lower respiratory diseases
J60-J70 Lung diseases due to external agents
J80-J84 Other respiratory diseases principally affecting the interstitium
J85-J86 Suppurative and necrotic conditions of the lower respiratory tract
J90-J94 Other diseases of the pleura
J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
J96-J99 Other diseases of the respiratory system

Key notes

An inside look into each interval of the ICD-10-CM code set

Use Additional:
  • code, where applicable, 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)

Back to ICD 10 CM Codes

Diseases and conditions of the respiratory system fall into two categories: Infections, such as influenza, bacterial pneumonia and enterovirus respiratory virus, and chronic diseases, such as asthma and chronic obstructive pulmonary disease (COPD) sometimes called chronic bronchitis or emphysema, is a chronic and progressive disease where the air flow in and out of the lungs decreases, making it harder to breathe. Over time, the airways in the lungs become inflamed and thicken, making it harder to get rid of waste carbon dioxide.

Key updates

An inside look into each interval of the ICD-10-CM code set

  • Modifications have been made to specific categories that bring the terminology up-to-date with current medical practice.
    – Emphysema now contains codes with panlobular and centrilobular in their description.
    – Asthma is now classified as mild intermittent, mild persistent, moderate persistent and severe persistent.
  • Specificity increased for diseases like influenza, acute bronchitis.
  • Coding notes updated to require the coder to include information about tobacco use/dependence, where applicable.
  • Procedural complications that affect the respiratory system are now included in this chapter in ICD-10-CM.

Instructional Notations

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Includes:

The word 'Includes' appears immediately under certain categories to further define, or give examples of, the content of the category.

Excludes Notes:

The ICD-10-CM has two types of excludes notes. Each note has a different definition for use but they are both similar in that they indicate that codes excluded from each other are independent of each other.

Excludes Notes:

The ICD-10-CM has two types of excludes notes. Each note has a different definition for use but they are both similar in that they indicate that codes excluded from each other are independent of each other.

Excludes1:

A type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Excludes2:

A type 2 excludes note represents 'Not included here'. An excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.


Codes notes instructions

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Code First/Use Additional Code notes (etiology/manifestation paired codes)

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

In most cases the manifestation codes will have in the code title, 'in diseases classified elsewhere.' Codes with this title are a component of the etiology/ manifestation convention. The code title indicates that it is a manifestation code. 'In diseases classified elsewhere' codes are never permitted to be used as first listed or principal diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.

Code Also

A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.

7th characters and placeholder X

For codes less than 6 characters that require a 7th character a placeholder X should be assigned for all characters less than 6. The 7th character must always be the 7th character of a code