Not Valid for Submission
J43 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of emphysema. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Emphysema
Non-specific codes like J43 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for emphysema:
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 the code J43:
Use Additional CodeUse Additional Code
The “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
- history of tobacco dependence Z87.891
- occupational exposure to environmental tobacco smoke Z57.31
- tobacco dependence F17
- tobacco use Z72.0
Type 1 ExcludesType 1 Excludes
A 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.
- compensatory emphysema J98.3
- emphysema due to inhalation of chemicals, gases, fumes or vapors J68.4
- emphysema with chronic obstructive bronchitis J44
- emphysematous obstructive bronchitis J44
- interstitial emphysema J98.2
- mediastinal emphysema J98.2
- neonatal interstitial emphysema P25.0
- surgical subcutaneous emphysema T81.82
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- traumatic subcutaneous emphysema T79.7
- EMPHYSEMA-. a pathological accumulation of air in tissues or organs.
- MEDIASTINAL EMPHYSEMA-. presence of air in the mediastinal tissues due to leakage of air from the tracheobronchial tree usually as a result of trauma.
- PNEUMONIA ATYPICAL INTERSTITIAL OF CATTLE-. a cattle disease of uncertain cause probably an allergic reaction.
- PULMONARY EMPHYSEMA-. enlargement of air spaces distal to the terminal bronchioles where gas exchange normally takes place. this is usually due to destruction of the alveolar wall. pulmonary emphysema can be classified by the location and distribution of the lesions.
- SUBCUTANEOUS EMPHYSEMA-. presence of air or gas in the subcutaneous tissues of the body.
- EMPHYSEMATOUS CHOLECYSTITIS-. a variant of acute cholecystitis with inflammation of the gallbladder that is characterized by the pockets of gas in the gallbladder wall. it is due to secondary infection caused by gas forming organisms and has a high risk of perforation.
Information for Patients
Emphysema is a type of COPD involving damage to the air sacs (alveoli) in the lungs. As a result, your body does not get the oxygen it needs. Emphysema makes it hard to catch your breath. You may also have a chronic cough and have trouble breathing during exercise.
The most common cause is cigarette smoking. If you smoke, quitting can help prevent you from getting the disease. If you already have emphysema, not smoking might keep it from getting worse. Treatment is based on whether your symptoms are mild, moderate or severe. Treatments include inhalers, oxygen, medications and sometimes surgery to relieve symptoms and prevent complications.
- How to breathe when you are short of breath (Medical Encyclopedia)
- Lung diffusion testing (Medical Encyclopedia)
- Lung surgery (Medical Encyclopedia)
- Pulmonary function tests (Medical Encyclopedia)
- Traveling with breathing problems (Medical Encyclopedia)
- Using oxygen at home (Medical Encyclopedia)
[Learn More in MedlinePlus]