2024 ICD-10-CM Diagnosis Code J68.4
Chronic respiratory conditions due to chemicals, gases, fumes and vapors
- ICD-10-CM Code:
- J68.4
- ICD-10 Code for:
- Chronic resp cond due to chemicals, gases, fumes and vapors
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
J68.4 is a billable diagnosis code used to specify a medical diagnosis of chronic respiratory conditions due to chemicals, gases, fumes and vapors. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Chronic bronchiolitis
- Chronic bronchiolitis
- Chronic chemical respiratory disease
- Chronic emphysema due to chemical fumes
- Chronic emphysema due to vapor
- Chronic fibrosis of lung
- Chronic obliterative bronchiolitis
- Chronic obliterative bronchiolitis
- Chronic obliterative bronchiolitis due to chemical fumes
- Chronic obliterative bronchiolitis due to vapor
- Chronic pulmonary fibrosis due to chemical fumes
- Chronic respiratory condition caused by chemical fumes
- Chronic respiratory condition caused by chemical fumes
- Chronic respiratory condition caused by fumes
- Chronic respiratory condition caused by fumes
- Chronic respiratory condition caused by vapors
- Drug-induced bronchiolitis obliterans
- Drug-induced pneumonitis
- Interstitial pulmonary fibrosis due to inhalation of substance
- Pneumonitis caused by fumes
- Pneumonitis caused by fumes
- Pneumonitis caused by vapors
- Pneumonitis caused by vapors
- Respiratory condition caused by vapors
- Respiratory condition caused by vapors
- Respiratory condition caused by vapors
- Respiratory condition caused by vapors
- Subacute obliterative bronchiolitis
- Subacute obliterative bronchiolitis
- Subacute obliterative bronchiolitis due to chemical fumes
- Subacute obliterative bronchiolitis due to vapor
- Toxic bronchiolitis obliterans
- Toxic emphysema
- Toxic pneumonitis
Clinical Classification
Clinical Category is Lung disease due to external agents
- CCSR Category Code: RSP013
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Code Also
Code AlsoA "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- , if applicable, chronic conditions, such as:
- emphysema J43
- obliterative bronchiolitis J44.81
- pulmonary fibrosis J84.10
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.
- chronic pulmonary edema due to chemicals, gases, fumes and vapors J68.1
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) - J40
- - chemical (acute) (subacute) - J68.0
- - due to fumes or vapors - See Also: Disease, respiratory, chronic, due to chemicals, gases, fumes or vapors; - J42
- - chronic - J68.4
- - due to fumes or vapors - See Also: Disease, respiratory, chronic, due to chemicals, gases, fumes or vapors; - J42
- - chemical (acute) (subacute) - J68.0
- - Disease, diseased - See Also: Syndrome;
- - respiratory (tract) - J98.9
- - chronic NOS - J98.9
- - due to
- - chemicals, gases, fumes or vapors - J68.4
- - due to
- - due to
- - chemicals, gases, fumes or vapors - J68.9
- - chronic - J68.4
- - chemicals, gases, fumes or vapors - J68.9
- - chronic NOS - J98.9
- - respiratory (tract) - J98.9
Convert J68.4 to ICD-9-CM
- ICD-9-CM Code: 506.4 - Fum/vapor chr resp cond
Patient Education
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.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.
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.