ICDcodes.org
FY2027

J45.902Unspecified asthma with status asthmaticus

BillableUnspecifiedCC

Is J45.902 billable?

Yes, but J45.902 is an unspecified code. J45.902 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, J45.902 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 J45.902 — the more specific alternatives are listed below.

J45.902 at a glance

CodeJ45.902
DescriptionUnspecified asthma with status asthmaticus
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does J45.902 group to?

J45.902 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

As a secondary diagnosis, J45.902 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is J45.902 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to J45.902. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Asthma, asthmaticwithstatus asthmaticus (bronchial) (catarrh) (spasmodic)
  • Asthma, asthmaticallergic extrinsicwithstatus asthmaticus (bronchial) (catarrh) (spasmodic)
  • Asthma, asthmaticchildhoodwithstatus asthmaticus (bronchial) (catarrh) (spasmodic)
  • Asthma, asthmaticlate-onsetwithstatus asthmaticus (bronchial) (catarrh) (spasmodic)
  • Asthma, asthmaticmixedwithstatus asthmaticus (bronchial) (catarrh) (spasmodic)
  • Asthma, asthmaticnonallergicwithstatus asthmaticus (bronchial) (catarrh) (spasmodic)
  • Bronchitisallergicwithstatus asthmaticus (diffuse) (fibrinous) (hypostatic) (infective) (membranous)
  • Dyspneaasthmaticwithstatus asthmaticus (nocturnal) (paroxysmal)
  • Feverhaywith asthmawithstatus asthmaticus (inanition) (of unknown origin) (persistent) (with chills) (with rigor)
  • Rhinitisallergicwith asthmawithstatus asthmaticus (atrophic) (catarrhal) (chronic) (croupous) (fibrinous) (granulomatous) (hyperplastic) (hypertrophic) (membranous) (obstructive) (purulent) (suppurative) (ulcerative)
  • Dyspneaasthmaticwithbronchitiswithstatus asthmaticus (nocturnal) (paroxysmal)
  • Obstruction, obstructed, obstructiveairwaywithasthmawithstatus asthmaticus

Excludes1 — never code together — inherited from J40-J4B

The conditions below can never be reported together with J45.902 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)

Excludes1 — never code together — inherited from J45

The conditions below can never be reported together with J45.902 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Use additional code — inherited from Chapter 10

Report an additional code alongside J45.902 to fully describe the condition. J45.902 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)

Use additional code — inherited from J45

Report an additional code alongside J45.902 to fully describe the condition. J45.902 is sequenced first.

  • code to identify:
  • eosinophilic asthma (J82.83)
  • 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 J45.902, but a patient may have both at the same time. When documentation supports it, J45.902 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 J45.902, but a patient may have both at the same time. When documentation supports it, J45.902 and the excluded code may both be reported.

Excludes2 — not included here — inherited from J45

The conditions below are not part of J45.902, but a patient may have both at the same time. When documentation supports it, J45.902 and the excluded code may both be reported.

  • asthma with chronic obstructive pulmonary disease (J44.89)
  • chronic asthmatic (obstructive) bronchitis (J44.89)
  • chronic obstructive asthma (J44.89)
  • other specified chronic obstructive pulmonary disease (J44.89)

How long has J45.902 existed?

J45.902 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 J45.902?

What other codes are in the J45.90 family? (2)