ICD-10-CM Use Additional Code Notes · Chapter 10 · FY 2027 J00-J99

Use Additional Code Notes in Chapter 10: Diseases of the respiratory system ICD-10-CM

A Use Additional Code note means a second code should be added, after this one, to fully describe the condition. In Chapter 10 (J00-J99), notes printed in the chapter name other codes 94 times, and Use Additional Code Notes anywhere in the Tabular List name the chapter’s codes 22 times, covering 15 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
94
References in Its Notes
22
References to Its Codes
15
Chapter Codes Named
J00-J99
Chapter 10
Chapter 10

Use Additional Code Notes by the code that carries the note

37 of 37 shown
  • Chapter note Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
    • 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)
  • J01 Acute sinusitis applies to 14 codes
    • code (B95-B97) to identify infectious agent.
  • J02.8 Acute pharyngitis due to other specified organisms
    • code (B95-B97) to identify infectious agent
  • J03.8 Acute tonsillitis due to other specified organisms applies to 2 codes
    • code (B95-B97) to identify infectious agent.
  • J04 Acute laryngitis and tracheitis applies to 6 codes
    • code (B95-B97) to identify infectious agent.
  • J05 Acute obstructive laryngitis [croup] and epiglottitis applies to 3 codes
    • code (B95-B97) to identify infectious agent.
  • J06.9 Acute upper respiratory infection, unspecified
    • code (B95-B97) to identify infectious agent, if known, such as:
    • respiratory syncytial virus (RSV) (B97.4)
  • Block note Block J09-J18 Influenza and pneumonia applies to 53 codes
    • code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
  • J09.X2 Influenza due to identified novel influenza A virus with other respiratory manifestations
  • J10.1 Influenza due to other identified influenza virus with other respiratory manifestations
    • code for associated pleural effusion, if applicable (J91.8)
    • code for associated sinusitis, if applicable (J01.-)
  • J10.83 Influenza due to other identified influenza virus with otitis media
    • code for any associated perforated tympanic membrane (H72.-)
  • J11.1 Influenza due to unidentified influenza virus with other respiratory manifestations
    • code for associated pleural effusion, if applicable (J91.8)
    • code for associated sinusitis, if applicable (J01.-)
  • J11.83 Influenza due to unidentified influenza virus with otitis media
    • code for any associated perforated tympanic membrane (H72.-)
  • J32 Chronic sinusitis applies to 7 codes
  • J36 Peritonsillar abscess
    • code (B95-B97) to identify infectious agent.
  • J37 Chronic laryngitis and laryngotracheitis applies to 2 codes
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • infectious agent (B95-B97)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
  • J40 Bronchitis, not specified as acute or chronic
    • 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)
  • J41 Simple and mucopurulent chronic bronchitis applies to 3 codes
    • 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)
  • J42 Unspecified chronic bronchitis
    • 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)
  • J45 Asthma applies to 18 codes
    • eosinophilic asthma (J82.83)
    • 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)
  • J47 Bronchiectasis applies to 3 codes
    • 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)
  • J65 Pneumoconiosis associated with tuberculosis
    • code, if applicable, for associated cachexia (E88.A)
  • J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors applies to 7 codes
    • acute respiratory failure (J96.0-)
  • J70.0 Acute pulmonary manifestations due to radiation
  • J70.1 Chronic and other pulmonary manifestations due to radiation
  • J70.2 Acute drug-induced interstitial lung disorders
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • J70.3 Chronic drug-induced interstitial lung disorders
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • J70.4 Drug-induced interstitial lung disorders, unspecified
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • J81 Pulmonary edema applies to 2 codes
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
  • J84.89 Other specified interstitial pulmonary diseases
    • code, for adverse effect, to identify drug (T36-T50 with fifth or sixth character 5), if drug-induced
  • J85 Abscess of lung and mediastinum applies to 4 codes
    • code (B95-B97) to identify infectious agent.
  • J86 Pyothorax applies to 2 codes
    • code (B95-B97) to identify infectious agent.
  • J95.02 Infection of tracheostomy stoma
  • J95.4 Chemical pneumonitis due to anesthesia
    • code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)
  • J95.851 Ventilator associated pneumonia
  • J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified
    • aspiration pneumonia (J69.-)
    • bacterial or viral pneumonia (J12-J18)
  • J98 Other respiratory disorders applies to 12 codes
    • 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)

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 Use Additional Code Notes anywhere in the Tabular List, including notes in other chapters.

Questions About Use Additional Code Notes

What does a Use Additional Code note mean?

A Use Additional Code note tells you to add a second code, reported after the code that carries the note, to describe the condition completely. In an etiology/manifestation pair it sits at the etiology code and points to the manifestation (Section I.A.13). The FY 2027 Tabular List has 1,491 of them; 1,174 name other codes, with 1,438 references to 389 distinct codes, categories and ranges.

Where does the additional code go?

After the code carrying the note. For etiology/manifestation pairs the Guidelines are explicit: the etiology is sequenced first, followed by the manifestation code.

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.