Icd 10 Asma Bronchial

Guide For Icd 10 S And Ambulance Services

2020 ICD-10-CM Diagnosis Code J45.909

2016

2017

2018

2019

2020

Billable/Specific Code

J45.909 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2020 edition of ICD-10-CM J45.909 became effective on October 1, 2019.
This is the American ICD-10-CM version of J45.909 - other international versions of ICD-10 J45.909 may differ.

Applicable To

Type 2 Excludes

Type 2 Excludes Help

A type 2 excludes note represents "not included here". A type 2 excludes 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 a type 2 excludes note appears under a code it is acceptable to use both the code (J45.909) and the excluded code together.

lung diseases due to external agents (J60-J70
ICD-10-CM Range J60-J70
Lung diseases due to external agents
Type 2 Excludes
- asthma (J45.-)
- malignant neoplasm of bronchus and lung (C34.-)
- J60 Coalworker's pneumoconiosis
- J61 Pneumoconiosis due to asbestos and other...
- J62 Pneumoconiosis due to dust containing si...
- J63 Pneumoconiosis due to other inorganic du...
- J64 Unspecified pneumoconiosis
- J65 Pneumoconiosis associated with tuberculo...
- J66 Airway disease due to specific organic d...
- J67 Hypersensitivity pneumonitis due to orga...
- J68 Respiratory conditions due to inhalation...
- J69 Pneumonitis due to solids and liquids
- J70 Respiratory conditions due to other exte...
)

The following code(s) above J45.909 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to J45.909:

J00-J99
2020 ICD-10-CM Range J00-J99
Diseases of the respiratory system
Note
- When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
Type 2 Excludes
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- smoke inhalation (T59.81-)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
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)
Diseases of the respiratory system
J40-J47
2020 ICD-10-CM Range J40-J47
Chronic lower respiratory diseases
Type 1 Excludes
- bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Type 2 Excludes
Chronic lower respiratory diseases
J45
ICD-10-CM Diagnosis Code J45
Includes
- 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
Type 1 Excludes
- detergent asthma (J69.8)
- eosinophilic asthma (J82)
- miner's asthma (J60)
- wheezing NOS (R06.2)
- wood asthma (J67.8)
Type 2 Excludes
- asthma with chronic obstructive pulmonary disease (J44.9)
- chronic asthmatic (obstructive) bronchitis (J44.9)
- chronic obstructive asthma (J44.9)
Use Additional
- 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)
Asthma
J45.90
ICD-10-CM Diagnosis Code J45.90
Applicable To
- Asthmatic bronchitis NOS
- Childhood asthma NOS
- Late onset asthma
Unspecified asthma

Approximate Synonyms

Allergic asthma
Asthma
Asthma in childbirth
Asthma in mother complicating childbirth
Asthma in pregnancy
Asthma postpartum
Asthma with allergic rhinitis (nasal congestion)
Asthma with irreversible airway obstruction
Asthma, allergic
Asthma, inhaled steroid dependent
Asthma, mixed
Asthma, occupational
Asthma, oral steroid dependent
Asthmatic bronchitis
Chronic asthmatic bronchitis
Hay fever with asthma
Inhaled steroid dependent asthma
Mixed asthma
Occupational asthma
Oral steroid-dependent asthma
Postpartum asthma (after childbirth)
Reactive airway disease
Reactive airway disease (wheezing from allergies)

Clinical Information

A chronic disease in which the bronchial airways in the lungs become narrowed and swollen, making it difficult to breathe. Symptoms include wheezing, coughing, tightness in the chest, shortness of breath, and rapid breathing. An attack may be brought on by pet hair, dust, smoke, pollen, mold, exercise, cold air, or stress.
A chronic respiratory disease manifested as difficulty breathing due to the narrowing of bronchial passageways.
A form of bronchial disorder with three distinct components: airway hyper-responsiveness (respiratory hypersensitivity), airway inflammation, and intermittent airway obstruction. It is characterized by spasmodic contraction of airway smooth muscle, wheezing, and dyspnea (dyspnea, paroxysmal).
Asthma is a chronic disease that affects your airways. Your airways are tubes that carry air in and out of your lungs. If you have asthma, the inside walls of your airways become sore and swollen. That makes them very sensitive, and they may react strongly to things that you are allergic to or find irritating. When your airways react, they get narrower and your lungs get less air.symptoms of asthma include
- wheezing
- coughing, especially early in the morning or at night
- chest tightness
- shortness of breath
not all people who have asthma have these symptoms. Having these symptoms doesn't always mean that you have asthma. Your doctor will diagnose asthma based on lung function tests, your medical history, and a physical exam. You may also have allergy tests.when your asthma symptoms become worse than usual, it's called an asthma attack. Severe asthma attacks may require emergency care, and they can be fatal.asthma is treated with two kinds of medicines: quick-relief medicines to stop asthma symptoms and long-term control medicines to prevent symptoms.
Form of bronchial disorder associated with airway obstruction, marked by recurrent attacks of paroxysmal dyspnea, with wheezing due to spasmodic contraction of the bronchi.

ICD-10-CM J45.909 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

202 Bronchitis and asthma with cc/mcc
203 Bronchitis and asthma without cc/mcc

Convert J45.909 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change

Code annotations containing back-references to J45.909:

Type 1 Excludes: J30, J40
ICD-10-CM Diagnosis Code J30
Includes
Type 1 Excludes
- allergic rhinitis with asthma (bronchial) (J45.909)
- rhinitis NOS (J31.0)
ICD-10-CM Diagnosis Code J40
Applicable To
- Bronchitis NOS
- Bronchitis with tracheitis NOS
- Catarrhal bronchitis
- Tracheobronchitis NOS
Type 1 Excludes
- acute bronchitis (J20.-)
- allergic bronchitis NOS (J45.909-)
- asthmatic bronchitis NOS (J45.9-)
- bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Use Additional
- 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)
Type 2 Excludes: J20
ICD-10-CM Diagnosis Code J20
Includes
- acute and subacute bronchitis (with) bronchospasm
- acute and subacute bronchitis (with) tracheitis
- acute and subacute bronchitis (with) tracheobronchitis, acute
- acute and subacute fibrinous bronchitis
- acute and subacute membranous bronchitis
- acute and subacute purulent bronchitis
- acute and subacute septic bronchitis
Type 1 Excludes
- bronchitis NOS (J40)
- tracheobronchitis NOS (J40)
Type 2 Excludes
- acute bronchitis with bronchiectasis (J47.0)
- acute bronchitis with chronic obstructive asthma (J44.0)
- acute bronchitis with chronic obstructive pulmonary disease (J44.0)
- allergic bronchitis NOS (J45.909-)
- bronchitis due to chemicals, fumes and vapors (J68.0)
- chronic bronchitis NOS (J42)
- chronic mucopurulent bronchitis (J41.1)
- chronic obstructive bronchitis (J44.-)
- chronic obstructive tracheobronchitis (J44.-)
- chronic simple bronchitis (J41.0)
- chronic tracheobronchitis (J42)

Diagnosis Index entries containing back-references to J45.909:

Asthma, asthmatic (bronchial) (catarrh) (spasmodic) J45.909
Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) J40
ICD-10-CM Diagnosis Code J40
Applicable To
- Bronchitis NOS
- Bronchitis with tracheitis NOS
- Catarrhal bronchitis
- Tracheobronchitis NOS
Type 1 Excludes
- acute bronchitis (J20.-)
- allergic bronchitis NOS (J45.909-)
- asthmatic bronchitis NOS (J45.9-)
- bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Use Additional
- 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)
Dyspnea (nocturnal) (paroxysmal) R06.00
ICD-10-CM Diagnosis Code R06.00
Dyspnea, unspecified
- asthmatic (bronchial) J45.909
Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) R50.9
ICD-10-CM Diagnosis Code R50.9
Applicable To
- Fever NOS
- Fever of unknown origin [FUO]
- Fever with chills
- Fever with rigors
- Hyperpyrexia NOS
- Persistent fever
- Pyrexia NOS
- hay (allergic) J30.1
  ICD-10-CM Diagnosis Code J30.1
  2016 2017 2018 2019 2020 Billable/Specific Code
  Applicable To
  Allergy NOS due to pollen
  Hay fever
  Pollinosis
  - with asthma (bronchial) J45.909
IgE asthma J45.909
Obstruction, obstructed, obstructive
- airway J98.8
  ICD-10-CM Diagnosis Code J98.8
  Other specified respiratory disorders
Rhinitis (atrophic) (catarrhal) (chronic) (croupous) (fibrinous) (granulomatous) (hyperplastic) (hypertrophic) (membranous) (obstructive) (purulent) (suppurative) (ulcerative) J31.0
ICD-10-CM Diagnosis Code J31.0
Applicable To
- Atrophic rhinitis (chronic)
- Granulomatous rhinitis (chronic)
- Hypertrophic rhinitis (chronic)
- Obstructive rhinitis (chronic)
- Ozena
- Purulent rhinitis (chronic)
- Rhinitis (chronic) NOS
- Ulcerative rhinitis (chronic)
Type 1 Excludes
- allergic rhinitis (J30.1-J30.9)
- vasomotor rhinitis (J30.0)
- allergic J30.9
  ICD-10-CM Diagnosis Code J30.9
  Allergic rhinitis, unspecified