J98.4 — Other disorders of lung
Is J98.4 billable?
Yes — J98.4 is billable for FY2027. J98.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J98.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
J98.4 at a glance
| Code | J98.4 |
|---|---|
| Description | Other disorders of lung |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does J98.4 group to?
J98.4 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.
- 205Other Respiratory System Diagnoses with MCCmedical
- 206Other Respiratory System Diagnoses without MCCmedical
How is J98.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to J98.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Honeycomb lung
- Pneumatocele (lung)
- Pneumonitis (acute) (primary)
- Pneumopathy NEC
- Pulmolithiasis
- Adhesions, adhesive › lung (postinfective)
- Adhesions, adhesive › pulmonary (postinfective)
- Atrophy, atrophic › lung (of)
- Calcification › lung
- Calculus, calculi, calculous › lung
- Calculus, calculi, calculous › pulmonary
- Cavitation of lung › nontuberculous
Excludes1 — never code together
The conditions below can never be reported together with J98.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to J98.4.
- Calcification of lung
- Cystic lung disease (acquired)
- Lung disease NOS
- Pulmolithiasis
Excludes1 — never code together — inherited from J98
The conditions below can never be reported together with J98.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 10
Report an additional code alongside J98.4 to fully describe the condition. J98.4 is sequenced first.
Use additional code — inherited from J98
Report an additional code alongside J98.4 to fully describe the condition. J98.4 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J98.4, but a patient may have both at the same time. When documentation supports it, J98.4 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 J98
The conditions below are not part of J98.4, but a patient may have both at the same time. When documentation supports it, J98.4 and the excluded code may both be reported.
How long has J98.4 existed?
J98.4 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 codes are confused with J98.4?
ICD-10-CM declares these codes mutually exclusive with J98.4 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to J98.4?
What other codes are in the J98 family? (8)
- J98.0Diseases of bronchus, not elsewhere classifiednot billable
- J98.1Pulmonary collapsenot billable
- J98.2Interstitial emphysema
- J98.3Compensatory emphysema
- J98.5Diseases of mediastinum, not elsewhere classifiednot billable
- J98.6Disorders of diaphragm
- J98.8Other specified respiratory disorders
- J98.9Respiratory disorder, unspecified