ICDcodes.org
FY2027

J20.4 — Acute bronchitis due to parainfluenza virus

Billable

Is J20.4 billable?

Yes — J20.4 is billable for FY2027. J20.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J20.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

J20.4 at a glance

CodeJ20.4
DescriptionAcute bronchitis due to parainfluenza virus
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does J20.4 group to?

J20.4 sits in MDC 04 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 202Bronchitis and Asthma with CC/MCCmedical
  • 203Bronchitis and Asthma without CC/MCCmedical

How is J20.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to J20.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Bronchitis › acute or subacute › due to › virus › parainfluenzae (diffuse) (fibrinous) (hypostatic) (infective) (membranous)

Excludes1 — never code together — inherited from J20

The conditions below can never be reported together with J20.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • bronchitis NOS (J40)
  • tracheobronchitis NOS (J40)

Use additional code — inherited from Chapter 10

Report an additional code alongside J20.4 to fully describe the condition. J20.4 is sequenced first.

  • 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)

Excludes2 — not included here — inherited from Chapter 10

The conditions below are not part of J20.4, but a patient may have both at the same time. When documentation supports it, J20.4 and the excluded code may both be reported.

  • 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)

Excludes2 — not included here — inherited from J20-J22

The conditions below are not part of J20.4, but a patient may have both at the same time. When documentation supports it, J20.4 and the excluded code may both be reported.

  • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Excludes2 — not included here — inherited from J20

The conditions below are not part of J20.4, but a patient may have both at the same time. When documentation supports it, J20.4 and the excluded code may both be reported.

  • acute bronchitis with bronchiectasis (J47.0)
  • acute bronchitis with chronic obstructive asthma (J44.0)
  • acute bronchitis with chronic obstructive pulmonary disease (J44.0)
  • allergic bronchitis NOS (J45.909)
  • bronchitis due to chemicals, fumes and vapors (J68.0)
  • chronic bronchitis NOS (J42)
  • chronic mucopurulent bronchitis (J41.1)
  • chronic obstructive bronchitis (J44.-)
  • chronic obstructive tracheobronchitis (J44.-)
  • chronic simple bronchitis (J41.0)
  • chronic tracheobronchitis (J42)

How long has J20.4 existed?

J20.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to J20.4?

What other codes are in the J20 family? (9)