ICDcodes.org
FY2027

J42Unspecified chronic bronchitis

BillableUnspecified

Is J42 billable?

Yes, but J42 is an unspecified code. J42 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, J42 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting J42.

J42 at a glance

CodeJ42
DescriptionUnspecified chronic bronchitis
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does J42 group to?

J42 sits in MDC 04 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 190Chronic Obstructive Pulmonary Disease with MCCmedical
  • 191Chronic Obstructive Pulmonary Disease with CCmedical
  • 192Chronic Obstructive Pulmonary Disease without CC/MCCmedical

How is J42 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to J42. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Pharyngotracheitis, chronic
  • Bronchitischronic (diffuse) (fibrinous) (hypostatic) (infective) (membranous)
  • Bronchitissenile (diffuse) (fibrinous) (hypostatic) (infective) (membranous)
  • Bronchorrheachronic
  • Infection, infected, infectivetrachea, chronic (opportunistic)
  • Tracheitischronic (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral)
  • Tracheopharyngitischronic (acute)
  • Bronchitiswithtracheitischronic (diffuse) (fibrinous) (hypostatic) (infective) (membranous)
  • Bronchitischronicwithtracheitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous)
  • Tracheitiswithbronchitischronic (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral)
  • Tracheitischronicwithbronchitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral)

Excludes1 — never code together

The conditions below can never be reported together with J42 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • bronchiolitis obliterans and bronchiolitis obliterans syndrome (J44.81)
  • chronic asthmatic bronchitis (J44.-)
  • chronic bronchitis with airways obstruction (J44.-)
  • chronic emphysematous bronchitis (J44.-)
  • chronic obstructive pulmonary disease NOS (J44.9)
  • simple and mucopurulent chronic bronchitis (J41.-)

Use additional code

Report an additional code alongside J42 to fully describe the condition. J42 is sequenced first.

  • 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)

Code also

Two codes may be needed to describe the condition fully. Whether J42 is sequenced first depends on the reason for the encounter.

  • , if applicable, chronic respiratory conditions due to chemicals, gases, fumes and vapors (J68.4)

Inclusion terms

Alternative wording in documentation that is classified to J42.

  • Chronic bronchitis NOS
  • Chronic tracheitis
  • Chronic tracheobronchitis

Excludes1 — never code together — inherited from J40-J4B

The conditions below can never be reported together with J42 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 due to chemicals, gases, fumes and vapors (J68.0)

Use additional code — inherited from Chapter 10

Report an additional code alongside J42 to fully describe the condition. J42 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 J42, but a patient may have both at the same time. When documentation supports it, J42 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 J40-J4B

The conditions below are not part of J42, but a patient may have both at the same time. When documentation supports it, J42 and the excluded code may both be reported.

How long has J42 existed?

J42 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 codes are confused with J42?

ICD-10-CM declares these codes mutually exclusive with J42 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to J42?