DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Block · Chapter 10

J40-J4B Chronic lower respiratory diseases (J40-J4B)

Block J40-J4B groups 9 categories with 40 billable codes in FY2027. One code is new this year.

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J40-J4B Chronic lower respiratory diseases (J40-J4B)

Neighbouring blocks

Categories
9
Billable codes
40
CC codes
14
MCC codes
1
HCC V28 codes
23
New FY2027
1

Categories in J40-J4B

  • J40

    Bronchitis, not specified as acute or chronic

    Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) → J40

    • Billable, no subdivisions
  • J41

    Simple and mucopurulent chronic bronchitis

    Smoker'scough → J41.0

    • 3 billable codes
    • 3 with HCC
  • J42

    Unspecified chronic bronchitis

    Pharyngotracheitis, chronic → J42

    • Billable, no subdivisions
    • 1 with HCC
  • J43

    Emphysema

    MacLeod's syndrome → J43.0

    • 5 billable codes
    • 5 with HCC
  • J44

    Other chronic obstructive pulmonary disease

    Vanishing lung → J44.89

    • 5 billable codes
    • 2 CC
    • 5 with HCC
  • J4A

    Chronic lung allograft dysfunction

    Syndromerestrictive allograft → J4A.0

    • 3 billable codes
    • 3 with HCC
  • J4B

    Pulmonary mycetoma New FY2027

    Ball, pulmonary fungal → J4B

    • Billable, no subdivisions
    • 1 MCC
    • 1 new
  • J45

    Asthma

    IgE asthma → J45.909

    • 18 billable codes
    • 10 CC
    • 3 with HCC
  • J47

    Bronchiectasis

    Bronchiectasis (cylindrical) (diffuse) (fusiform) (localized) (saccular) → J47.9

    • 3 billable codes
    • 2 CC
    • 3 with HCC

FY2027 changes in J40-J4B

  • J4B Pulmonary mycetoma New FY2027

Index main terms

  • Asthma, asthmatic (bronchial) (catarrh) (spasmodic) → J44, J45 (55 entries)
  • Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) → J40, J41, J42, J44, J45, J47 (40 entries)
  • Disease, diseased → J43, J44, J47 (21 entries)
  • Obstruction, obstructed, obstructive → J43, J44, J45, J47 (14 entries)
  • Syndrome → J44, J47, J4A (9 entries)
  • Bronchiolitis (acute) (infective) (subacute) → J44 (8 entries)
  • Dyspnea (nocturnal) (paroxysmal) → J44, J45 (7 entries)
  • Emphysema (atrophic) (bullous) (chronic) (interlobular) (lung) (obstructive) (pulmonary) (senile) (vesicular) → J43 (7 entries)
  • Mounier-Kuhn syndrome → J47 (6 entries)
  • Tracheobronchomegaly → J47 (6 entries)
  • Bronchiectasis (cylindrical) (diffuse) (fusiform) (localized) (saccular) → J47 (4 entries)
  • Tracheitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral) → J40, J42 (4 entries)
  • Bleb(s) → J43 (3 entries)
  • Dilatation → J47 (3 entries)
  • Dysfunction → J4A (3 entries)

+19 more main terms; the search box finds them by word.

Block instructions

Excludes1

  • bronchitis due to chemicals, gases, fumes and vapors (J68.0) J68.0

Excludes2

  • cystic fibrosis (E84.-) E84

Notes that also apply

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.