ICD-10-CM Code J68.4

Chronic respiratory conditions due to chemicals, gases, fumes and vapors

Version 2020 Billable Code

Valid for Submission

J68.4 is a billable code used to specify a medical diagnosis of chronic respiratory conditions due to chemicals, gases, fumes and vapors. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code J68.4 might also be used to specify conditions or terms like chronic bronchiolitis, chronic chemical respiratory disease, chronic diffuse emphysema due to inhalation of chemical fumes and/or vapors, chronic emphysema due to chemical fumes, chronic fibrosis of lung, chronic obliterative bronchiolitis, etc

ICD-10:J68.4
Short Description:Chronic resp cond due to chemicals, gases, fumes and vapors
Long Description:Chronic respiratory conditions due to chemicals, gases, fumes and vapors

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code J68.4:

Inclusion Terms

Inclusion Terms
These 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.
  • Emphysema (diffuse) (chronic) due to inhalation of chemicals, gases, fumes and vapors
  • Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemicals, gases, fumes and vapors
  • Pulmonary fibrosis (chronic) due to inhalation of chemicals, gases, fumes and vapors

Type 1 Excludes

Type 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.
  • chronic pulmonary edema due to chemicals, gases, fumes and vapors J68.1

Index to Diseases and Injuries

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 the code J68.4 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Chronic bronchiolitis
  • Chronic chemical respiratory disease
  • Chronic diffuse emphysema due to inhalation of chemical fumes AND/OR vapors
  • Chronic emphysema due to chemical fumes
  • Chronic fibrosis of lung
  • Chronic obliterative bronchiolitis
  • Chronic obliterative bronchiolitis due to inhalation of chemical fumes AND/OR vapors
  • Chronic pulmonary fibrosis due to chemical fumes
  • Chronic pulmonary fibrosis due to inhalation of chemical fumes AND/OR vapors
  • Chronic respiratory condition due to fumes AND/OR vapors
  • Diffuse interstitial pulmonary fibrosis
  • Drug-induced bronchiolitis obliterans
  • Obliterative bronchiolitis
  • Obliterative bronchiolitis
  • Obliterative bronchiolitis
  • Obliterative bronchiolitis
  • Subacute obliterative bronchiolitis
  • Subacute obliterative bronchiolitis due to inhalation of chemical fumes AND/OR vapors
  • Toxic bronchiolitis obliterans
  • Toxic diffuse interstitial pulmonary fibrosis
  • Toxic emphysema

Diagnostic Related Groups

The ICD-10 code J68.4 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
  • 191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
  • 192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC

Convert J68.4 to ICD-9

  • 506.4 - Fum/vapor chr resp cond

Code Classification

  • Diseases of the respiratory system (J00–J99)
    • Lung diseases due to external agents (J60-J70)
      • Resp cond d/t inhalation of chemicals, gas, fumes and vapors (J68)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Interstitial Lung Diseases

Interstitial lung disease is the name for a large group of diseases that inflame or scar the lungs. The inflammation and scarring make it hard to get enough oxygen. The scarring is called pulmonary fibrosis.

Breathing in dust or other particles in the air is responsible for some types of interstitial lung diseases. Specific types include

  • Black lung disease among coal miners, from inhaling coal dust
  • Farmer's lung, from inhaling farm dust
  • Asbestosis, from inhaling asbestos fibers
  • Siderosis, from inhaling iron from mines or welding fumes
  • Silicosis, from inhaling silica dust

Other causes include autoimmune diseases or occupational exposures to molds, gases, or fumes. Some types of interstitial lung disease have no known cause.

Treatment depends on the type of exposure and the stage of the disease. It may involve medicines, oxygen therapy, or a lung transplant in severe cases.


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