Bronchiectasis (J47)
ICD-10 codes in the J47 section are used to classify bronchiectasis and its various forms, including those with infections or exacerbations. These codes help specify whether bronchiectasis is uncomplicated, accompanied by an acute lower respiratory infection, or experiencing an acute worsening.
The primary code J47 represents bronchiectasis generally. For more precise coding, J47.0 is used when bronchiectasis occurs alongside an acute lower respiratory infection, sometimes called "acute bronchitis co-occurrent with bronchiectasis." The code J47.1 captures cases where bronchiectasis undergoes an acute exacerbation, also known as an "acute exacerbation of bronchiectasis" or worsening caused by infection. Finally, J47.9 covers uncomplicated bronchiectasis, which includes various subtypes like childhood bronchiectasis, post-infective, tuberculous, or idiopathic bronchiectasis. These distinctions are vital for accurate clinical documentation and help guide treatment plans by clearly identifying the state and complications of bronchiectasis.
Diseases of the respiratory system (J00–J99)
Chronic lower respiratory diseases (J40-J4A)
J47 Bronchiectasis
- J47.0 Bronchiectasis with acute lower respiratory infection
- J47.1 Bronchiectasis with (acute) exacerbation
- J47.9 Bronchiectasis, uncomplicated
Bronchiectasis (J47)
Instructional Notations
Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- bronchiolectasis
Use 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
- 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
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.
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
Bronchiectasis
Persistent abnormal dilatation of the bronchi.
Kartagener Syndrome
An autosomal recessive disorder characterized by a triad of DEXTROCARDIA; INFERTILITY; and SINUSITIS. The syndrome is caused by mutations of DYNEIN genes encoding motility proteins which are components of sperm tails, and CILIA in the respiratory and the reproductive tracts.
