2026 ICD-10-CM Diagnosis Code J44.9Chronic obstructive pulmonary disease, unspecified

ICD-10-CM CodesJ00–J99J40-J4AJ44

ICD-10-CM J44.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

J44.9 is a billable ICD-10-CM diagnosis code for chronic obstructive pulmonary disease, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 190 through 192. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Chronic obstructive pulmonary disease and bronchiectasis.

Code Identity

ICD-10-CM Code
J44.9
Billable Status
Yes — Valid for Submission
Code Describes
Chronic obstructive pulmonary disease, unspecified
Short Description
Chronic obstructive pulmonary disease, unspecified
Same as the full description in the CMS dataset.
Parent Code
Other chronic obstructive pulmonary disease

Code Classification

ChapterJ00–J99Diseases of the respiratory system
SectionJ40-J4AChronic lower respiratory diseases
CategoryJ44Other chronic obstructive pulmonary disease
This CodeJ44.9Chronic obstructive pulmonary disease, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Airways obstruction irreversible
  • Asthma with irreversible airway obstruction
  • Asthma-chronic obstructive pulmonary disease overlap syndrome
  • Asthmatic bronchitis
  • Bronchiolitis obliterans syndrome following allogeneic stem cell transplant
  • Chronic asthmatic bronchitis
  • Chronic bronchiolitis
  • Chronic graft-versus-host disease
  • Chronic obliterative bronchiolitis
  • Chronic obstructive pulmonary disease
  • Chronic obstructive pulmonary disease monitoring due
  • Emphysematous bronchitis
  • End stage chronic obstructive pulmonary disease
  • Finding of respiratory obstruction
  • Mild chronic obstructive pulmonary disease
  • Moderate chronic obstructive pulmonary disease
  • Obstruction of bronchus
  • Pulmonary hypertension due to chronic obstructive pulmonary disease
  • Pulmonary hypertension due to lung disease and/or hypoxia
  • Severe chronic obstructive pulmonary disease
  • Subacute obliterative bronchiolitis

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Chronic obstructive airway disease NOS
  • Chronic obstructive lung disease NOS

Type 2 Excludes

  • lung diseases due to external agents J60 J70

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disease, diseased
      • airway
        • obstructive, chronic
    • Disease, diseased
      • lung
        • obstructive (chronic)
    • Disease, diseased
      • pulmonary
        • chronic obstructive
    • Obstruction, obstructed, obstructive
      • airway
        • chronic
    • Obstruction, obstructed, obstructive
      • lung
        • disease, chronic
    • Obstruction, obstructed, obstructive
      • respiratory
        • chronic

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR RSP008
Chronic obstructive pulmonary disease and bronchiectasis
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

COPD

COPD (chronic obstructive pulmonary disease) is a group of lung diseases that make it hard to breathe and get worse over time.

The full article covers:

  • What is COPD (chronic obstructive pulmonary disease)?
  • What are the types of COPD (chronic obstructive pulmonary disease)?
  • What causes COPD (chronic obstructive pulmonary disease)?
  • Who is at risk for COPD (chronic obstructive pulmonary disease)?
  • What are the symptoms of COPD (chronic obstructive pulmonary disease)?
  • How is COPD (chronic obstructive pulmonary disease) diagnosed?
  • What are the treatments for COPD (chronic obstructive pulmonary disease)?
  • Can COPD (chronic obstructive pulmonary disease) be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert J44.9 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
491.20 Obst chr bronc w/o exac
Approximate The match is approximate rather than exact.
ICD-9-CM
493.20 Chronic obst asthma NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
496 Chr airway obstruct NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About J44.9Overview

Is J44.9 (Other chronic obstructive pulmonary disease) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chronic obstructive pulmonary disease, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does J44.9 group to?

When chronic obstructive pulmonary disease, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 190, 191, 192, with relative weights from 0.6420 to 1.1077 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of J44.9?

Under the General Equivalence Mappings, chronic obstructive pulmonary disease, unspecified converts to ICD-9-CM 491.20 (obst chr bronc w/o exac), 493.20 (chronic obst asthma NOS), and 496 (chr airway obstruct NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.