J47.0UpcomingBillable / specific

Bronchiectasis with acute lower respiratory infection

Code-level instructions

Code also

to identify infection, if applicable

Chapters 10 · Inherited instructions

Use additional code

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)

J47 · Inherited instructions

Use additional code

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)

Excludes 1

congenital bronchiectasis (Q33.4)
tuberculous bronchiectasis (current disease) (A15.0)

J40-J4B · Inherited instructions

Excludes 1

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

Excludes 2 · 10

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

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)

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

Excludes 2

cystic fibrosis (E84.-)

Claims & coverage

Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

Check Medicare coverage ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2022

ChangedUnchanged

FY2022

Effective from 2021-10-01

Code-level rules changed

Bronchiectasis with acute lower respiratory infection

Billable diagnosis code

CDC/NCHS · FY2022

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Code-level rules changed · Inherited rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	Code-level rules changed
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Historical ICD-9 mappings · 2018

Historical mapping only; not an automatic code substitution.

494.1 · Approximate

CDC/NCHS · GEM 2018

Code-level instructions

Inclusion terms

Bronchiectasis with acute bronchitis

Code also

to identify infection, if applicable

Inherited instructions

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

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

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)

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).

J47 · Bronchiectasis

Includes

bronchiolectasis

Excludes 1

congenital bronchiectasis (Q33.4)
tuberculous bronchiectasis (current disease) (A15.0)

Use additional code

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)

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

Excludes 1

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

Excludes 2

cystic fibrosis (E84.-)

Official index references (13)

Bronchiectasis(cylindrical) (diffuse) (fusiform) (localized) (saccular) (2)

Bronchitis(diffuse) (fibrinous) (hypostatic) (infective) (membranous) (1)

Bronchitis(diffuse) (fibrinous) (hypostatic) (infective) (membranous) › acute or subacute(with bronchospasm or obstruction) › with › bronchiectasisDisease index

Dilatation (1)

Dilatation › bronchial › with › lower respiratory infectionDisease index

Disease, diseased (1)

Disease, diseased › lung › obstructive(chronic) › with › bronchiectasis › with › lower respiratory infectionDisease index

Mounier-Kuhn syndrome (2)

Obstruction, obstructed, obstructive (2)

Syndrome (2)

Tracheobronchomegaly (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
J47.1	Bronchiectasis with (acute) exacerbation	Billable / specific
J47.9	Bronchiectasis, uncomplicated	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (1)

J20 · Acute bronchitis

Excludes 2 · acute bronchitis with bronchiectasis (J47.0)

J47.0UpcomingBillable / specific

Bronchiectasis with acute lower respiratory infection

Code-level instructions

Code also

to identify infection, if applicable

Chapters 10 · Inherited instructions

Use additional code

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)

J47 · Inherited instructions

Use additional code

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)

Excludes 1

congenital bronchiectasis (Q33.4)
tuberculous bronchiectasis (current disease) (A15.0)

J40-J4B · Inherited instructions

Excludes 1

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

Excludes 2 · 10

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

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)

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

Excludes 2

cystic fibrosis (E84.-)

Claims & coverage

Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

Check Medicare coverage ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2022

ChangedUnchanged

FY2022

Effective from 2021-10-01

Code-level rules changed

Bronchiectasis with acute lower respiratory infection

Billable diagnosis code

CDC/NCHS · FY2022

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Code-level rules changed · Inherited rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	Code-level rules changed
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Historical ICD-9 mappings · 2018

Historical mapping only; not an automatic code substitution.

494.1 · Approximate

CDC/NCHS · GEM 2018

Code-level instructions

Inclusion terms

Bronchiectasis with acute bronchitis

Code also

to identify infection, if applicable

Inherited instructions

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

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

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)

Note

J47 · Bronchiectasis

Includes

bronchiolectasis

Excludes 1

congenital bronchiectasis (Q33.4)
tuberculous bronchiectasis (current disease) (A15.0)

Use additional code

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)

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

Excludes 1

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

Excludes 2

cystic fibrosis (E84.-)

Official index references (13)

Bronchiectasis(cylindrical) (diffuse) (fusiform) (localized) (saccular) (2)

Bronchitis(diffuse) (fibrinous) (hypostatic) (infective) (membranous) (1)

Bronchitis(diffuse) (fibrinous) (hypostatic) (infective) (membranous) › acute or subacute(with bronchospasm or obstruction) › with › bronchiectasisDisease index

Dilatation (1)

Dilatation › bronchial › with › lower respiratory infectionDisease index

Disease, diseased (1)

Disease, diseased › lung › obstructive(chronic) › with › bronchiectasis › with › lower respiratory infectionDisease index

Mounier-Kuhn syndrome (2)

Obstruction, obstructed, obstructive (2)

Syndrome (2)

Tracheobronchomegaly (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
J47.1	Bronchiectasis with (acute) exacerbation	Billable / specific
J47.9	Bronchiectasis, uncomplicated	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (1)

J20 · Acute bronchitis

Excludes 2 · acute bronchitis with bronchiectasis (J47.0)