DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

J81 Pulmonary edema

  • Header · not billable

J81 is not billable. The category heads 2 billable codes in FY2027: the 2 codes directly below it.

Index → code

  • Edema, edematous (infectious) (pitting) (toxic)lung → J81.1
  • Edema, edematous (infectious) (pitting) (toxic)lungacute → J81.0
  • Edema, edematous (infectious) (pitting) (toxic)lungchronic → J81.1

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J80-J84 Other respiratory diseases principally affecting the interstitium (J80-J84)
  3. J81 Pulmonary edema
Billable codes
2
Subdivisions
2
CC / MCC codes
1 / 1
HCC V28 codes
1
New FY2027
0
Index entries
3

Codes in J81

  1. J81.0
    Acute pulmonary edema
    BillableMCC213
    Inclusion terms 1

    Inclusion terms

    • Acute edema of lung
  2. J81.1
    Chronic pulmonary edema
    BillableCC
    Inclusion terms 2

    Inclusion terms

    • Pulmonary congestion (chronic) (passive)
    • Pulmonary edema NOS

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At J81

Excludes1

  • chemical (acute) pulmonary edema (J68.1) J68.1
  • hypostatic pneumonia (J18.2) J18.2
  • passive pneumonia (J18.2) J18.2
  • pulmonary edema due to external agents (J60-J70) J60 J70
  • pulmonary edema with heart disease NOS (I50.1) I50.1
  • pulmonary edema with heart failure (I50.1) I50.1

Use additional code

  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22) Z77.22
  • history of tobacco dependence (Z87.891) Z87.891
  • occupational exposure to environmental tobacco smoke (Z57.31) Z57.31
  • tobacco dependence (F17.-) F17
  • tobacco use (Z72.0) Z72.0

Notes that also apply

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

Index entries

  • Edema, edematous (infectious) (pitting) (toxic)lung → J81.1
  • Edema, edematous (infectious) (pitting) (toxic)lungacute → J81.0
  • Edema, edematous (infectious) (pitting) (toxic)lungchronic → J81.1

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy