J42 - Unspecified chronic bronchitis
ICD-10: | J42 |
Short Description: | Unspecified chronic bronchitis |
Long Description: | Unspecified chronic bronchitis |
Status: | Valid for Submission |
Version: | ICD-10-CM 2023 |
Code Classification: |
J42 is a billable ICD-10 code used to specify a medical diagnosis of unspecified chronic bronchitis. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
Unspecified diagnosis codes like J42 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Bronchiolitis obliterans syndrome due to and after lung transplantation
- Bronchitis
- Bronchitis co-occurrent with acute wheeze
- Bronchitis co-occurrent with chronic wheeze
- Bronchitis co-occurrent with wheeze
- Bronchitis co-occurrent with wheeze
- Chronic bronchiolitis
- Chronic bronchitis
- Chronic bronchitis co-occurrent with wheeze
- Chronic graft-versus-host disease
- Chronic obliterative bronchiolitis
- Chronic tracheitis
- Chronic tracheobronchitis
- Eosinophilic bronchitis
- Fetid chronic bronchitis
- Infectious disorder of bronchus
- Protracted bronchitis caused by bacterium
- Septic bronchitis
- Tracheobronchitis
Clinical Information
- Bronchitis-. inflammation of the large airways in the lung including any part of the bronchi, from the primary bronchi to the tertiary bronchi.
- Infectious bronchitis virus-. a species of coronavirus causing infections in chickens and possibly pheasants. chicks up to four weeks old are the most severely affected.
- Coronavirus-. a member of coronaviridae which causes respiratory or gastrointestinal disease in a variety of vertebrates.
- Chronic Bronchitis-. a type of chronic obstructive pulmonary disease characterized by chronic inflammation in the bronchial tree that results in edema, mucus production, obstruction, and reduced airflow to and from the lung alveoli. the most common cause is tobacco smoking. signs and symptoms include coughing with excessive mucus production, and shortness of breath.
- Has Asthma, Chronic Lung Disease, Chronic Bronchitis or Emphysema|Does the patient have asthma, chronic lung disease, chronic bronchitis or emphysema-. a question about whether an individual has or had asthma, chronic lung disease, chronic bronchitis or emphysema.
- Croup|Acute Obstructive Laryngitis|Laryngotracheitis|Laryngotracheobronchitis-. acute upper respiratory airways infection that results in the swelling of the larynx. it is usually caused by parainfluenza viruses. signs include a characteristic barking cough and stridor.
- Tracheobronchitis-. inflammation of the tracheobronchial tree.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Chronic bronchitis NOS
- Chronic tracheitis
- Chronic tracheobronchitis
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- 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
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) - J40
- - with
- - tracheitis (l5 years of age and above) - J40
- - chronic - J42
- - tracheitis (l5 years of age and above) - J40
- - chronic - J42
- - with
- - tracheitis (chronic) - J42
- - with
- - senile (chronic) - J42
- - with
- - Bronchorrhea - J98.09
- - chronic (infective) (purulent) - J42
- - Pharyngotracheitis, chronic - J42
- - Tracheopharyngitis (acute) - J06.9
- - chronic - J42
Convert to ICD-9 Code
Source ICD-10 Code | Target ICD-9 Code | |
---|---|---|
J42 | 491.9 - Chronic bronchitis NOS |
Patient Education
Chronic Bronchitis
What is chronic bronchitis?
Chronic bronchitis is a type of COPD (chronic obstructive pulmonary disease). COPD is a group of lung diseases that make it hard to breathe and get worse over time. The other main type of COPD is emphysema. Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person.
Chronic bronchitis is inflammation (swelling) and irritation of the bronchial tubes. These tubes are the airways that carry air to and from the air sacs in your lungs. The irritation of the tubes causes mucus to build up. This mucus and the swelling of the tubes make it harder for your lungs to move oxygen in and carbon dioxide out of your body.
What causes chronic bronchitis?
The cause of chronic bronchitis is usually long-term exposure to irritants that damage your lungs and airways. In the United States, cigarette smoke is the main cause. Pipe, cigar, and other types of tobacco smoke can also cause chronic bronchitis, especially if you inhale them.
Exposure to other inhaled irritants can contribute to chronic bronchitis. These include secondhand smoke, air pollution, and chemical fumes or dusts from the environment or workplace.
Rarely, a genetic condition called alpha-1 antitrypsin deficiency can play a role in causing chronic bronchitis.
Who is at risk for chronic bronchitis?
The risk factors for chronic bronchitis include:
- Smoking. This the main risk factor. Up to 75% of people who have chronic bronchitis smoke or used to smoke.
- Long-term exposure to other lung irritants, such as secondhand smoke, air pollution, and chemical fumes and dusts from the environment or workplace.
- Age. Most people who have chronic bronchitis are at least 40 years old when their symptoms begin.
- Genetics. This includes alpha-1 antitrypsin deficiency, which is a genetic condition. Also, smokers who get chronic bronchitis are more likely to get it if they have a family history of COPD.
What are the symptoms of chronic bronchitis?
At first, you may have no symptoms or only mild symptoms. As the disease gets worse, your symptoms usually become more severe. They can include:
- Frequent coughing or a cough that produces a lot mucus
- Wheezing
- A whistling or squeaky sound when you breathe
- Shortness of breath, especially with physical activity
- Tightness in your chest
Some people with chronic bronchitis get frequent respiratory infections such as colds and the flu. In severe cases, chronic bronchitis can cause weight loss, weakness in your lower muscles, and swelling in your ankles, feet, or legs.
How is chronic bronchitis diagnosed?
Your health care provider may use many tools to make a diagnosis:
- A medical history, which includes asking about your symptoms
- A family history
- Various tests, such as lung function tests, a chest x-ray or CT scan, and blood tests
What are the treatments for chronic bronchitis?
There is no cure for chronic bronchitis. However, treatments can help with symptoms, slow the progress of the disease, and improve your ability to stay active. There are also treatments to prevent or treat complications of the disease. Treatments include:
- Lifestyle changes, such as
- Quitting smoking if you are a smoker. This is the most important step you can take to treat chronic bronchitis.
- Avoiding secondhand smoke and places where you might breathe in other lung irritants
- Ask your health care provider for an eating plan that will meet your nutritional needs. Also ask about how much physical activity you can do. Physical activity can strengthen the muscles that help you breathe and improve your overall wellness.
- Medicines, such as
- Bronchodilators, which relax the muscles around your airways. This helps open your airways and makes breathing easier. Most bronchodilators are taken through an inhaler. In more severe cases, the inhaler may also contain steroids to reduce inflammation.
- Vaccines for the flu and pneumococcal pneumonia, since people with chronic bronchitis are at higher risk for serious problems from these diseases.
- Antibiotics if you get a bacterial or viral lung infection
- Oxygen therapy, if you have severe chronic bronchitis and low levels of oxygen in your blood. Oxygen therapy can help you breathe better. You may need extra oxygen all the time or only at certain times.
- Pulmonary rehabilitation, which is a program that helps improve the well-being of people who have chronic breathing problems. It may include
- An exercise program
- Disease management training
- Nutritional counseling
- Psychological counseling
- A lung transplant, as a last resort for people who have severe symptoms that have not gotten better with medicines
If you have chronic bronchitis, it's important to know when and where to get help for your symptoms. You should get emergency care if you have severe symptoms, such as trouble catching your breath or talking. Call your health care provider if your symptoms are getting worse or if you have signs of an infection, such as a fever.
Can chronic bronchitis be prevented?
Since smoking causes most cases of chronic bronchitis, the best way to prevent it is to not smoke. It's also important to try to avoid lung irritants such as secondhand smoke, air pollution, chemical fumes, and dusts.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)