J68.9UpcomingBillable / specific

Unspecified respiratory condition due to chemicals, gases, fumes and vapors

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)

J68 · Inherited instructions

Code first

(T51-T65) to identify cause

Use additional code

code to identify associated respiratory conditions, such as:
acute respiratory failure (J96.0-)

Excludes 2 · 11

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)

J60-J70 · Lung diseases due to external agents (J60-J70)

Excludes 2

asthma (J45.-)
malignant neoplasm of bronchus and lung (C34.-)

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 · FY2017

ChangedUnchanged

FY2017

Effective from 2016-10-01

Inherited rules changed

Unspecified respiratory condition due to chemicals, gases, fumes and vapors

Billable diagnosis code

CDC/NCHS · FY2017

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	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	No tabular change
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.

506.9 · Approximate

CDC/NCHS · GEM 2018

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

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).

J68 · Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

Code first

(T51-T65) to identify cause

Use additional code

code to identify associated respiratory conditions, such as:
acute respiratory failure (J96.0-)

J60-J70 · Lung diseases due to external agents (J60-J70)

Excludes 2

asthma (J45.-)
malignant neoplasm of bronchus and lung (C34.-)

Official index references (5)

Disease, diseased (1)

Disease, diseased › respiratory(tract) › due to › chemicals, gases, fumes or vaporsDisease index

Inhalation (1)

Inhalation › smoke › with respiratory conditions › due to chemicals, gases, fumes and vaporsDisease index

Meat-wrappers' asthma (1)

Meat-wrappers' asthmaDisease index

Obstruction, obstructed, obstructive (1)

Obstruction, obstructed, obstructive › airway › due to › inhalation of fumes or vaporsDisease index

Pneumoconiosis(due to) (inhalation of) (1)

Pneumoconiosis(due to) (inhalation of) › fumes or vapors(from silo)Disease index

Related codes

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

Code	Description	Category · further specificity required
J68.0	Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors	Billable / specific
J68.1	Pulmonary edema due to chemicals, gases, fumes and vapors	Billable / specific
J68.2	Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified	Billable / specific
J68.3	Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors	Billable / specific
J68.4	Chronic respiratory conditions due to chemicals, gases, fumes and vapors	Billable / specific
J68.8	Other respiratory conditions due to chemicals, gases, fumes and vapors	Billable / specific

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

References from other codes (1)

J70.5 · Respiratory conditions due to smoke inhalation

Excludes 2 · smoke inhalation due to chemicals, gases, fumes and vapors (J68.9)

J68.9UpcomingBillable / specific

Unspecified respiratory condition due to chemicals, gases, fumes and vapors

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)

J68 · Inherited instructions

Code first

(T51-T65) to identify cause

Use additional code

code to identify associated respiratory conditions, such as:
acute respiratory failure (J96.0-)

Excludes 2 · 11

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)

J60-J70 · Lung diseases due to external agents (J60-J70)

Excludes 2

asthma (J45.-)
malignant neoplasm of bronchus and lung (C34.-)

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 · FY2017

ChangedUnchanged

FY2017

Effective from 2016-10-01

Inherited rules changed

Unspecified respiratory condition due to chemicals, gases, fumes and vapors

Billable diagnosis code

CDC/NCHS · FY2017

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	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	No tabular change
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.

506.9 · Approximate

CDC/NCHS · GEM 2018

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

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

J68 · Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

Code first

(T51-T65) to identify cause

Use additional code

code to identify associated respiratory conditions, such as:
acute respiratory failure (J96.0-)

J60-J70 · Lung diseases due to external agents (J60-J70)

Excludes 2

asthma (J45.-)
malignant neoplasm of bronchus and lung (C34.-)

Official index references (5)

Disease, diseased (1)

Disease, diseased › respiratory(tract) › due to › chemicals, gases, fumes or vaporsDisease index

Inhalation (1)

Inhalation › smoke › with respiratory conditions › due to chemicals, gases, fumes and vaporsDisease index

Meat-wrappers' asthma (1)

Meat-wrappers' asthmaDisease index

Obstruction, obstructed, obstructive (1)

Obstruction, obstructed, obstructive › airway › due to › inhalation of fumes or vaporsDisease index

Pneumoconiosis(due to) (inhalation of) (1)

Pneumoconiosis(due to) (inhalation of) › fumes or vapors(from silo)Disease index

Related codes

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

Code	Description	Category · further specificity required
J68.0	Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors	Billable / specific
J68.1	Pulmonary edema due to chemicals, gases, fumes and vapors	Billable / specific
J68.2	Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified	Billable / specific
J68.3	Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors	Billable / specific
J68.4	Chronic respiratory conditions due to chemicals, gases, fumes and vapors	Billable / specific
J68.8	Other respiratory conditions due to chemicals, gases, fumes and vapors	Billable / specific

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

References from other codes (1)

J70.5 · Respiratory conditions due to smoke inhalation

Excludes 2 · smoke inhalation due to chemicals, gases, fumes and vapors (J68.9)