ICDcodes.org
FY2027

J43 vs J98.2

J43 and J98.2 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.

The official note, declared on J43
interstitial emphysema (J98.2)
J43

Emphysema

Not billable
Chapter 10
Diseases of the respiratory system
Section
J40-J4B
J98.2

Interstitial emphysema

Billable
Chapter 10
Diseases of the respiratory system
Section
J96-J99
Use when the record says
  • Mediastinal emphysema
Indexed under
  • Pneumomediastinum
  • Air › anterior mediastinum
  • Disease, diseased › Hamman's
  • Emphysema › interstitial (atrophic) (bullous) (chronic) (interlobular) (lung) (obstructive) (pulmonary) (senile) (vesicular)
  • Emphysema › mediastinal (atrophic) (bullous) (chronic) (interlobular) (lung) (obstructive) (pulmonary) (senile) (vesicular)

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027