ICDcodes.org
FY2027

J45.991Cough variant asthma

Billable

Is J45.991 billable?

Yes — J45.991 is billable for FY2027. J45.991 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J45.991 may be submitted for encounters from October 1, 2026 through September 30, 2027.

J45.991 at a glance

CodeJ45.991
DescriptionCough variant asthma
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does J45.991 group to?

J45.991 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 J45.991 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to J45.991. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Asthma, asthmaticcough variant (bronchial) (catarrh) (spasmodic)

Excludes1 — never code together — inherited from J40-J4B

The conditions below can never be reported together with J45.991 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 J45.991 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 J45.991 to fully describe the condition. J45.991 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 J45.991 to fully describe the condition. J45.991 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 J45.991, but a patient may have both at the same time. When documentation supports it, J45.991 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 J45.991, but a patient may have both at the same time. When documentation supports it, J45.991 and the excluded code may both be reported.

Excludes2 — not included here — inherited from J45

The conditions below are not part of J45.991, but a patient may have both at the same time. When documentation supports it, J45.991 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 J45.991 existed?

J45.991 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 J45.991?

What other codes are in the J45.99 family? (2)