ICD-10-CM Excludes1 Notes · Chapter 10 · FY 2027 J00-J99

Excludes1 Notes in Chapter 10: Diseases of the respiratory system ICD-10-CM

An Excludes1 note means "NOT CODED HERE": the excluded code should never be reported together with the code above the note. In Chapter 10 (J00-J99), notes printed in the chapter name other codes 263 times, and Excludes1 Notes anywhere in the Tabular List name the chapter’s codes 203 times, covering 118 distinct codes, categories and ranges. Switch views to read the list either way.

✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A
263
References in Its Notes
203
References to Its Codes
118
Chapter Codes Named
J00-J99
Chapter 10
Chapter 10

Excludes1 Notes by the code that carries the note

94 of 94 shown
  • Block note Block J00-J06 Acute upper respiratory infections applies to 35 codes
    • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
  • J00 Acute nasopharyngitis [common cold]
  • J01 Acute sinusitis applies to 14 codes
  • J02 Acute pharyngitis applies to 3 codes
    • acute laryngopharyngitis (J06.0)
    • peritonsillar abscess (J36)
    • pharyngeal abscess (J39.1)
    • retropharyngeal abscess (J39.0)
  • J02.8 Acute pharyngitis due to other specified organisms
    • acute pharyngitis due to coxsackie virus (B08.5)
    • acute pharyngitis due to gonococcus (A54.5)
    • acute pharyngitis due to herpes [simplex] virus (B00.2)
    • acute pharyngitis due to infectious mononucleosis (B27.-)
    • enteroviral vesicular pharyngitis (B08.5)
  • J02.9 Acute pharyngitis, unspecified
  • J03 Acute tonsillitis applies to 6 codes
    • acute sore throat (J02.-)
    • hypertrophy of tonsils (J35.1)
    • peritonsillar abscess (J36)
    • sore throat NOS (J02.9)
    • streptococcal sore throat (J02.0)
  • J03.8 Acute tonsillitis due to other specified organisms applies to 2 codes
    • diphtheritic tonsillitis (A36.0)
    • herpesviral pharyngotonsillitis (B00.2)
    • streptococcal tonsillitis (J03.0)
    • tuberculous tonsillitis (A15.8)
    • Vincent's tonsillitis (A69.1)
  • J03.9 Acute tonsillitis, unspecified applies to 2 codes
  • J04 Acute laryngitis and tracheitis applies to 6 codes
    • acute obstructive laryngitis [croup] and epiglottitis (J05.-)
  • J04.0 Acute laryngitis
    • acute obstructive laryngitis (J05.0)
  • J04.2 Acute laryngotracheitis
    • acute obstructive laryngotracheitis (J05.0)
  • J06 Acute upper respiratory infections of multiple and unspecified sites applies to 2 codes
    • acute respiratory infection NOS (J22)
    • influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
    • streptococcal pharyngitis (J02.0)
  • J09 Influenza due to certain identified influenza viruses applies to 4 codes
    • influenza A/H1N1 (J10.-)
    • influenza due to other identified influenza virus (J10.-)
    • influenza due to unidentified influenza virus (J11.-)
    • seasonal influenza due to other identified influenza virus (J10.-)
    • seasonal influenza due to unidentified influenza virus (J11.-)
  • J09.X3 Influenza due to identified novel influenza A virus with gastrointestinal manifestations
    • 'intestinal flu' [viral gastroenteritis] (A08.-)
  • J10 Influenza due to other identified influenza virus applies to 9 codes
    • influenza due to avian influenza virus (J09.X-)
    • influenza due to swine flu (J09.X-)
    • influenza due to unidentifed influenza virus (J11.-)
  • J10.2 Influenza due to other identified influenza virus with gastrointestinal manifestations
    • 'intestinal flu' [viral gastroenteritis] (A08.-)
  • J11.2 Influenza due to unidentified influenza virus with gastrointestinal manifestations
    • 'intestinal flu' [viral gastroenteritis] (A08.-)
  • J13 Pneumonia due to Streptococcus pneumoniae
    • congenital pneumonia due to S. pneumoniae (P23.6)
    • lobar pneumonia, unspecified organism (J18.1)
    • pneumonia due to other streptococci (J15.3-J15.4)
  • J14 Pneumonia due to Hemophilus influenzae
    • congenital pneumonia due to H. influenzae (P23.6)
  • J15 Bacterial pneumonia, not elsewhere classified applies to 14 codes
    • chlamydial pneumonia (J16.0)
    • congenital pneumonia (P23.-)
    • Legionnaires' disease (A48.1)
    • spirochetal pneumonia (A69.8)
  • J15.4 Pneumonia due to other streptococci
    • pneumonia due to streptococcus, group B (J15.3)
    • pneumonia due to Streptococcus pneumoniae (J13)
  • J16 Pneumonia due to other infectious organisms, not elsewhere classified applies to 2 codes
    • congenital pneumonia (P23.-)
    • ornithosis (A70)
    • pneumocystosis (B59)
    • pneumonia NOS (J18.9)
  • J17 Pneumonia in diseases classified elsewhere
    • candidial pneumonia (B37.1)
    • chlamydial pneumonia (J16.0)
    • gonorrheal pneumonia (A54.84)
    • histoplasmosis pneumonia (B39.0-B39.2)
    • measles pneumonia (B05.2)
    • nocardiosis pneumonia (A43.0)
    • pneumocystosis (B59)
    • pneumonia due to Pneumocystis carinii (B59)
    • pneumonia due to Pneumocystis jirovecii (B59)
    • pneumonia in actinomycosis (A42.0)
    • pneumonia in anthrax (A22.1)
    • pneumonia in ascariasis (B77.81)
    • pneumonia in aspergillosis (B44.0-B44.1)
    • pneumonia in coccidioidomycosis (B38.0-B38.2)
    • pneumonia in cytomegalovirus disease (B25.0)
    • pneumonia in toxoplasmosis (B58.3)
    • rubella pneumonia (B06.81)
    • salmonella pneumonia (A02.22)
    • spirochetal infection NEC with pneumonia (A69.8)
    • tularemia pneumonia (A21.2)
    • typhoid fever with pneumonia (A01.03)
    • varicella pneumonia (B01.2)
    • whooping cough with pneumonia (A37 with fifth-character 1)
  • J18 Pneumonia, unspecified organism applies to 5 codes
    • congenital pneumonia (P23.0)
    • drug-induced interstitial lung disorder (J70.2-J70.4)
    • interstitial pneumonia NOS (J84.9)
    • neonatal aspiration pneumonia (P24.-)
    • pneumonitis due to fumes and vapors (J68.0)
    • usual interstitial pneumonia (J84.178)
  • J18.0 Bronchopneumonia, unspecified organism
    • hypostatic bronchopneumonia (J18.2)
    • lipid pneumonia (J69.1)
  • J20 Acute bronchitis applies to 10 codes
    • bronchitis NOS (J40)
    • tracheobronchitis NOS (J40)
  • J21.9 Acute bronchiolitis, unspecified
    • chronic bronchiolitis (J44.89)
  • J22 Unspecified acute lower respiratory infection
    • upper respiratory infection (acute) (J06.9)
  • J30 Vasomotor and allergic rhinitis applies to 7 codes
    • allergic rhinitis with asthma (bronchial) (J45.909)
    • rhinitis NOS (J31.0)
  • J31.0 Chronic rhinitis
  • J32.2 Chronic ethmoidal sinusitis
    • Woakes' ethmoiditis (J33.1)
  • J33 Nasal polyp applies to 4 codes
    • adenomatous polyps (D14.0)
  • J34.2 Deviated nasal septum
    • congenital deviated nasal septum (Q67.4)
  • J35.1 Hypertrophy of tonsils
    • hypertrophy of tonsils with tonsillitis (J35.0-)
  • J35.2 Hypertrophy of adenoids
    • hypertrophy of adenoids with adenoiditis (J35.0-)
  • J35.3 Hypertrophy of tonsils with hypertrophy of adenoids
    • hypertrophy of tonsils and adenoids with tonsillitis and adenoiditis (J35.03)
  • J36 Peritonsillar abscess
    • acute tonsillitis (J03.-)
    • chronic tonsillitis (J35.0)
    • retropharyngeal abscess (J39.0)
    • tonsillitis NOS (J03.9-)
  • J37.1 Chronic laryngotracheitis
    • chronic tracheitis (J42)
  • J38 Diseases of vocal cords and larynx, not elsewhere classified applies to 10 codes
    • congenital laryngeal stridor (P28.89)
    • obstructive laryngitis (acute) (J05.0)
    • postprocedural subglottic stenosis (J95.5)
    • stridor (R06.1)
    • ulcerative laryngitis (J04.0)
  • J38.1 Polyp of vocal cord and larynx
    • adenomatous polyps (D14.1)
  • J38.4 Edema of larynx
    • acute obstructive laryngitis [croup] (J05.0)
    • edematous laryngitis (J04.0)
  • J39 Other diseases of upper respiratory tract applies to 6 codes
    • acute respiratory infection NOS (J22)
    • acute upper respiratory infection (J06.9)
    • upper respiratory inflammation due to chemicals, gases, fumes or vapors (J68.2)
  • J39.0 Retropharyngeal and parapharyngeal abscess
    • peritonsillar abscess (J36)
  • J39.3 Upper respiratory tract hypersensitivity reaction, site unspecified
  • Block note Block J40-J4B Chronic lower respiratory diseases applies to 40 codes
    • bronchitis due to chemicals, gases, fumes and vapors (J68.0)
  • J40 Bronchitis, not specified as acute or chronic
    • acute bronchitis (J20.-)
    • allergic bronchitis NOS (J45.909)
    • asthmatic bronchitis NOS (J45.9-)
    • bronchitis due to chemicals, gases, fumes and vapors (J68.0)
  • J42 Unspecified chronic bronchitis
    • bronchiolitis obliterans and bronchiolitis obliterans syndrome (J44.81)
    • chronic asthmatic bronchitis (J44.-)
    • chronic bronchitis with airways obstruction (J44.-)
    • chronic emphysematous bronchitis (J44.-)
    • chronic obstructive pulmonary disease NOS (J44.9)
    • simple and mucopurulent chronic bronchitis (J41.-)
  • J43 Emphysema applies to 5 codes
    • compensatory emphysema (J98.3)
    • interstitial emphysema (J98.2)
    • mediastinal emphysema (J98.2)
    • neonatal interstitial emphysema (P25.0)
    • surgical (subcutaneous) emphysema (T81.82)
  • J45 Asthma applies to 18 codes
  • J47 Bronchiectasis applies to 3 codes
    • congenital bronchiectasis (Q33.4)
    • tuberculous bronchiectasis (current disease) (A15.0)
  • J60 Coalworker's pneumoconiosis
    • coalworker pneumoconiosis with tuberculosis, any type in A15 (J65)
  • J61 Pneumoconiosis due to asbestos and other mineral fibers
    • pleural plaque with asbestosis (J92.0)
    • pneumoconiosis with tuberculosis, any type in A15 (J65)
  • J62 Pneumoconiosis due to dust containing silica applies to 2 codes
    • pneumoconiosis with tuberculosis, any type in A15 (J65)
  • J63 Pneumoconiosis due to other inorganic dusts applies to 7 codes
    • pneumoconiosis with tuberculosis, any type in A15 (J65)
  • J64 Unspecified pneumoconiosis
    • pneumonoconiosis with tuberculosis, any type in A15 (J65)
  • J67 Hypersensitivity pneumonitis due to organic dust applies to 10 codes
    • pneumonitis due to inhalation of chemicals, gases, fumes or vapors (J68.0)
  • J68.1 Pulmonary edema due to chemicals, gases, fumes and vapors
    • pulmonary edema (acute) (chronic) NOS (J81.-)
  • J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapors
    • chronic pulmonary edema due to chemicals, gases, fumes and vapors (J68.1)
  • J69 Pneumonitis due to solids and liquids applies to 3 codes
    • neonatal aspiration syndromes (P24.-)
    • postprocedural pneumonitis (J95.4)
  • J69.0 Pneumonitis due to inhalation of food and vomit
    • chemical pneumonitis due to anesthesia (J95.4)
    • obstetric aspiration pneumonitis (O74.0)
  • J69.1 Pneumonitis due to inhalation of oils and essences
    • endogenous lipoid pneumonia (J84.89)
  • J70.2 Acute drug-induced interstitial lung disorders
    • interstitial pneumonia NOS (J84.9)
    • lymphoid interstitial pneumonia (J84.2)
  • J70.3 Chronic drug-induced interstitial lung disorders
    • interstitial pneumonia NOS (J84.9)
    • lymphoid interstitial pneumonia (J84.2)
  • J70.4 Drug-induced interstitial lung disorders, unspecified
    • interstitial pneumonia NOS (J84.9)
    • lymphoid interstitial pneumonia (J84.2)
  • J80 Acute respiratory distress syndrome
    • respiratory distress syndrome in newborn (perinatal) (P22.0)
  • J81 Pulmonary edema applies to 2 codes
    • chemical (acute) pulmonary edema (J68.1)
    • hypostatic pneumonia (J18.2)
    • passive pneumonia (J18.2)
    • pulmonary edema due to external agents (J60-J70)
    • pulmonary edema with heart disease NOS (I50.1)
    • pulmonary edema with heart failure (I50.1)
  • J84 Other interstitial pulmonary diseases applies to 24 codes
    • drug-induced interstitial lung disorders (J70.2-J70.4)
    • interstitial emphysema (J98.2)
  • J84.03 Idiopathic pulmonary hemosiderosis
    • acute idiopathic pulmonary hemorrhage in infants [AIPHI] (R04.81)
  • J84.1 Other interstitial pulmonary diseases with fibrosis applies to 10 codes
    • pulmonary fibrosis (chronic) following radiation (J70.1)
  • J84.11 Idiopathic interstitial pneumonia applies to 7 codes
    • lymphoid interstitial pneumonia (J84.2)
    • pneumocystis pneumonia (B59)
  • J84.113 Idiopathic non-specific interstitial pneumonitis
    • non-specific interstitial pneumonia NOS, or due to known underlying cause (J84.89)
  • J84.114 Acute interstitial pneumonitis
    • pneumocystis pneumonia (B59)
  • J84.116 Cryptogenic organizing pneumonia
    • organizing pneumonia NOS, or due to known underlying cause (J84.89)
  • J84.8 Other specified interstitial pulmonary diseases applies to 8 codes
    • exogenous lipoid pneumonia (J69.1)
    • unspecified lipoid pneumonia (J69.1)
  • J84.89 Other specified interstitial pulmonary diseases
    • cryptogenic organizing pneumonia (J84.116)
    • idiopathic non-specific interstitial pneumonitis (J84.113)
    • lipoid pneumonia, exogenous or unspecified (J69.1)
    • lymphoid interstitial pneumonia (J84.2)
  • J86 Pyothorax applies to 2 codes
    • abscess of lung (J85.-)
    • pyothorax due to tuberculosis (A15.6)
  • J90 Pleural effusion, not elsewhere classified
    • chylous (pleural) effusion (J94.0)
    • malignant pleural effusion (J91.0))
    • pleurisy NOS (R09.1)
    • tuberculous pleural effusion (A15.6)
  • J93 Pneumothorax and air leak applies to 7 codes
    • congenital or perinatal pneumothorax (P25.1)
    • postprocedural air leak (J95.812)
    • postprocedural pneumothorax (J95.811)
    • traumatic pneumothorax (S27.0)
    • tuberculous (current disease) pneumothorax (A15.-)
    • pyopneumothorax (J86.-)
  • J94 Other pleural conditions applies to 5 codes
    • pleurisy NOS (R09.1)
    • traumatic hemopneumothorax (S27.2)
    • traumatic hemothorax (S27.1)
    • tuberculous pleural conditions (current disease) (A15.-)
  • J95.4 Chemical pneumonitis due to anesthesia
    • aspiration pneumonitis due to anesthesia complicating labor and delivery (O74.0)
    • aspiration pneumonitis due to anesthesia complicating pregnancy (O29)
    • aspiration pneumonitis due to anesthesia complicating the puerperium (O89.01)
  • J95.6 Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure applies to 2 codes
    • intraoperative hemorrhage and hematoma of a respiratory system organ or structure due to accidental puncture and laceration during procedure (J95.7-)
  • J95.850 Mechanical complication of respirator
    • encounter for respirator [ventilator] dependence during power failure (Z99.12)
  • J95.851 Ventilator associated pneumonia
    • ventilator lung in newborn (P27.8)
  • J95.87 Transfusion-associated dyspnea (TAD)
    • transfusion associated circulatory overload (TACO) (E87.71)
    • transfusion-related acute lung injury (TRALI) (J95.84)
  • J96 Respiratory failure, not elsewhere classified applies to 12 codes
    • acute respiratory distress syndrome (J80)
    • cardiorespiratory failure (R09.2)
    • newborn respiratory distress syndrome (P22.0)
    • postprocedural respiratory failure (J95.82-)
    • respiratory arrest (R09.2)
    • respiratory arrest of newborn (P28.81)
    • respiratory failure of newborn (P28.5)
  • J98 Other respiratory disorders applies to 12 codes
  • J98.01 Acute bronchospasm
    • acute bronchiolitis with bronchospasm (J21.-)
    • acute bronchitis with bronchospasm (J20.-)
    • asthma (J45.-)
    • exercise induced bronchospasm (J45.990)
  • J98.1 Pulmonary collapse applies to 2 codes
    • therapeutic collapse of lung status (Z98.3)
  • J98.11 Atelectasis
    • tuberculous atelectasis (current disease) (A15)
  • J98.2 Interstitial emphysema
    • emphysema NOS (J43.9)
    • emphysema in newborn (P25.0)
    • surgical emphysema (subcutaneous) (T81.82)
    • traumatic subcutaneous emphysema (T79.7)
  • J98.4 Other disorders of lung
    • acute interstitial pneumonitis (J84.114)
    • pulmonary insufficiency following surgery (J95.1-J95.2)
  • J98.6 Disorders of diaphragm
    • congenital malformation of diaphragm NEC (Q79.1)
    • congenital diaphragmatic hernia (Q79.0)
  • J99 Respiratory disorders in diseases classified elsewhere

The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Excludes1 Notes anywhere in the Tabular List, including notes in other chapters.

Questions About Excludes1 Notes

What does an Excludes1 note mean?

An Excludes1 note means “NOT CODED HERE!”: the excluded code should never be used at the same time as the code above the note. It is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition (Section I.A.12.a). The FY 2027 Tabular List has 5,411 of them; 5,284 name other codes, with 5,710 references to 3,528 distinct codes, categories and ranges.

Is there any exception to an Excludes1 note?

Yes: when the two conditions are unrelated to each other. The Guidelines’ example is F45.8, whose Excludes1 note names sleep related teeth grinding (G47.63). A patient with psychogenic dysmenorrhea (an inclusion term of F45.8) and teeth grinding may have both codes reported. If it is not clear whether the conditions are related, query the provider.

Related References

ICD-10-CM Official GuidelinesICD-10-CM Code LookupICD-10-CM Codes ListCode Lists by Tag

Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.