490Bronchitis, not specified as acute or chronic

Diseases of the respiratory system (460–519)›Chronic obstructive pulmonary disease and allied conditions (490-496)›490 Bronchitis, not specified as acute or chronic

Legacy / Not Valid for Submission
Replaced October 1, 2015

ICD-9-CM 490

CMS Source: final ICD-9-CM release (version date October 1, 2014). Retired from U.S. claims after September 30, 2015.

490 is a legacy ICD-9-CM diagnosis code for bronchitis, not specified as acute or chronic. It was valid on U.S. claims through September 30, 2015 and cannot be reported for services on or after October 1, 2015, when ICD-10-CM replaced the ICD-9 code set. Under the CMS General Equivalence Mappings, its ICD-10-CM replacement is J40 (Bronchitis, not specified as acute or chronic), flagged as a direct match.

Code Identity

ICD-9-CM Code

490

Valid for Submission

No — Legacy Code

Code Describes

Bronchitis, not specified as acute or chronic

Parent Block

490 Bronchitis, not specified as acute or chronic

Short Description

Bronchitis NOS

ICD-10-CM Replacement

J40

Convert 490 to ICD-10-CM

Based on the final CMS General Equivalence Mappings (GEMs), 490 crosswalks to the following ICD-10-CM code.

ICD-10-CM

J40 Bronchitis, not specified as acute or chronic

Exact Match The mapping is direct, with no qualifiers.

Index of Diseases References

Entries in the final ICD-9-CM Index to Diseases and Injuries that point to 490. Tap the icons for the official index conventions.

Adenocarcinoma M8140 3 SEE ALSO Neoplasm by site malignant
- signet ring cell M8490 3

Bronchitis diffuse hypostatic infectious inflammatory simple 490
- with
  - emphysema see Emphysema
  - influenza flue or grippe SEE ALSO Influenza 487.1
  - obstruction airway chronic 491.20
    - with
      - acute bronchitis 491.22
      - exacerbation acute 491.21
  - tracheitis 490
    - acute or subacute 466.0
      - with bronchospasm or obstruction 466.0
    - chronic 491.8
- acute or subacute 466.0
  - with
    - bronchiectasis 494.1
    - bronchospasm 466.0
    - obstruction 466.0
    - tracheitis 466.0
  - chemical due to fumes or vapors 506.0
  - due to
    - fumes or vapors 506.0
    - radiation 508.8
- allergic acute SEE ALSO Asthma 493.9
- arachidic 934.1
- aspiration 507.0
  - due to fumes or vapors 506.0
- asthmatic acute 493.90
  - with
    - acute exacerbation 493.92
    - status asthmaticus 493.91
  - chronic 493.2
- capillary 466.19
  - with bronchospasm or obstruction 466.19
  - chronic 491.8
- caseous SEE ALSO Tuberculosis 011.3
- Castellani s 104.8
- catarrhal 490
  - acute see Bronchitis acute
  - chronic 491.0
- chemical acute subacute 506.0
  - chronic 506.4
  - due to fumes or vapors acute subactue 506.0
    - chronic 506.4
- chronic 491.9
  - with
    - tracheitis chronic 491.8
  - asthmatic 493.2
  - catarrhal 491.0
  - chemical due to fumes and vapors 506.4
  - due to
    - fumes or vapors chemical inhalation 506.4
    - radiation 508.8
    - tobacco smoking 491.0
  - mucopurulent 491.1
  - obstructive 491.20
    - with
      - acute bronchitis 491.22
      - exacerbation acute 491.21
  - purulent 491.1
  - simple 491.0
  - specified type NEC 491.8
- croupous 466.0
  - with bronchospasm or obstruction 466.0
  - due to fumes or vapors 506.0
- emphysematous 491.20
  - with
    - acute bronchitis 491.22
    - exacerbation acute 491.21
- exudative 466.0
- fetid chronic recurrent 491.1
- fibrinous acute or subacute 466.0
  - with bronchospasm or obstruction 466.0
- grippal SEE ALSO Influenza 487.1
- influenzal SEE ALSO Influenza 487.1
- membranous acute or subactue 466.0
  - with bronchospasm or obstruction 466.0
- moulders 502
- mucopurulent chronic recurrent 491.1
  - acute or subacute 466.0
- obliterans 491.8
- obstructive chronic 491.20
  - with
    - acute bronchitis 491.22
    - exacerbation acute 491.21
- pituitous 491.1
- plastic inflammatory 466.0
- pneumococcal acute or subacute 466.0
  - with bronchospasm or obstruction 466.0
- pseudomembranous 466.0
- purulent chronic recurrent 491.1
  - acute or subacute 466.0
    - with bronchospasm or obstruction 466.0
- putrid 491.1
- scrofulous SEE ALSO Tuberculosis 011.3
- senile 491.9
- septic acute or subacute 466.0
  - with bronchospasm or obstruction 466.0
- smokers 491.0
- spirochetal 104.8
- suffocative acute or subacute 466.0
- summer SEE ALSO Asthma 493.9
- suppurative chronic 491.1
  - acute or subacute 466.0
- tuberculous SEE ALSO Tuberculosis 011.3
- ulcerative 491.8
  - Vincent s 101
- Vincent s 101
- viral acute or subacute 466.0

Carcinoma M8010 3 SEE ALSO Neoplasm by site malignant
- signet ring cell M8490 3
  - metastatic M8490 6 see Neoplasm by site secondary

Catarrh catarrhal inflammation SEE ALSO condition 460
- bronchial 490
  - acute 466.0
  - chronic 491.0
  - subacute 466.0
- chest SEE ALSO Bronchitis 490
- lung SEE ALSO Bronchitis 490
  - acute 466.0
  - chronic 491.0
- pulmonary SEE ALSO Bronchitis 490
  - acute 466.0
  - chronic 491.0

Effusion
- bronchial SEE ALSO Bronchitis 490

Gangliocytoma M9490 0 see Neoplasm conNEC tive tissue benign

Ganglioneuroblastoma M9490 3 see Neoplasm conNEC tive tissue malignant

Ganglioneuroma M9490 0 SEE ALSO Neoplasm conNEC tive tissue benign
- malignant M9490 3 see Neoplasm conNEC tive tissue malignant

Infection infected infective opportunistic 136.9
- bronchus SEE ALSO Bronchitis 490
  - fungus NEC 117.9

Irritability 799.22
- bronchial SEE ALSO Bronchitis 490

Irritation
- bronchial SEE ALSO Bronchitis 490

Krukenberg s
- tumor M8490 6 198.6

Laryngotracheobronchitis SEE ALSO Bronchitis 490
- acute 466.0
- chronic 491.8
- viral 466.0

Maternal condition affecting fetus or newborn
- disease NEC 760.9
  - respiratory conditions classifiable to 490 519 748 760.3
- respiratory disease chronic conditions classifiable to 490 519 748 760.3

Stasis
- bronchus SEE ALSO Bronchitis 490

Tracheitis acute catarrhal infantile membranous plastic pneumococcal septic suppurative viral 464.10
- with
  - bronchitis 490
    - acute or subacute 466.0
    - chronic 491.8
    - tuberculosis see Tuberculosis pulmonary

Tracheobronchitis SEE ALSO Bronchitis 490
- acute or subacute 466.0
  - with bronchospasm or obstruction 466.0
- chronic 491.8
- influenzal SEE ALSO Influenza 487.1
- senile 491.8

Tumor M8000 1 SEE ALSO Neoplasm by site unspecified nature
- Krukenberg s M8490 6 198.6

Information for Patients

Acute Bronchitis

Bronchitis is an inflammation of the bronchial tubes, the airways that carry air to your lungs. It causes a cough that often brings up mucus. It can also cause shortness of breath, wheezing, a low fever, and chest tightness. There are two main types of bronchitis: acute and chronic.

Read the full article at MedlinePlus

Chronic Bronchitis

Chronic bronchitis is a type of COPD (chronic obstructive pulmonary disease). COPD is a group of lung diseases that make it hard to breathe and get worse over time. The other main type of COPD is emphysema. Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Questions About 490

Is 490 (bronchitis, not specified as acute or chronic) still a valid code?

No. This code belonged to ICD-9-CM, which the United States retired after September 30, 2015. Claims with dates of service on or after October 1, 2015 must use ICD-10-CM codes, such as its replacement J40.

What is the ICD-10 replacement for 490?

The General Equivalence Mappings crosswalk this code directly to ICD-10-CM J40 (Bronchitis, not specified as acute or chronic), a one-to-one match.

What did 490 mean?

In the final ICD-9-CM release, this code described bronchitis, not specified as acute or chronic. It sat in block 490 Bronchitis, not specified as acute or chronic under Diseases of the respiratory system (460–519).