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v1.0.0
ICD-10 Guide
ICD-10 CodesJ44

J44

Other chronic obstructive pulmonary disease

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J44 is a used to indicate a diagnosis of other chronic obstructive pulmonary disease.

Key Diagnostic Point:

J44 refers to Other Chronic Obstructive Pulmonary Disease (COPD), which encompasses a range of respiratory conditions characterized by persistent airflow limitation. This code is used when the patient presents with chronic bronchitis, emphysema, or a combination of both, but does not fit the specific criteria for J40 (Bronchitis, not specified as acute or chronic) or J41 (Simple and mucopurulent chronic bronchitis). The clinical presentation may include chronic cough, sputum production, and dyspnea, which progressively worsen over time. The anatomy involved primarily includes the lungs, specifically the bronchi and alveoli, where inflammation and structural changes lead to impaired gas exchange. Disease progression can lead to exacerbations, respiratory failure, and increased morbidity. Diagnostic considerations include pulmonary function tests (PFTs), imaging studies, and patient history to differentiate from other respiratory conditions. Accurate diagnosis is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough assessment of respiratory symptoms and history.
  • Treatment complexity: Management may involve bronchodilators, corticosteroids, and pulmonary rehabilitation.
  • Documentation requirements: Detailed clinical notes and diagnostic tests are necessary.
  • Coding specificity: Must differentiate from other COPD-related codes.

Audit Risk Factors

  • Common coding errors: Misclassification of COPD severity or type.
  • Documentation gaps: Incomplete patient history or lack of supporting diagnostic tests.
  • Billing challenges: Denials may arise from insufficient documentation or incorrect code selection.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Primary Care

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

6 codes
J44.0
Chronic obstructive pulmonary disease with (acute) lower respiratory infection
J44.1
Chronic obstructive pulmonary disease with (acute) exacerbation
J44.8
Other specified chronic obstructive pulmonary disease
J44.81
Bronchiolitis obliterans and bronchiolitis obliterans syndrome
J44.89
Other specified chronic obstructive pulmonary disease
J44.9
Chronic obstructive pulmonary disease, unspecified

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Chronic obstructive pulmonary disease significantly impacts population health, contributing to increased morbidity and mortality rates. It is a leading cause of hospitalization and healthcare utilization, particularly among older adults and smokers. Quality measures often focus on smoking cessation, management of exacerbations, and patient education to improve outcomes. Epidemiologically, COPD prevalence is rising globally, necessitating effective management strategies to reduce its burden on healthcare systems.

ICD-9 vs ICD-10

Chronic obstructive pulmonary disease significantly impacts population health, contributing to increased morbidity and mortality rates. It is a leading cause of hospitalization and healthcare utilization, particularly among older adults and smokers. Quality measures often focus on smoking cessation, management of exacerbations, and patient education to improve outcomes. Epidemiologically, COPD prevalence is rising globally, necessitating effective management strategies to reduce its burden on healthcare systems.

Reimbursement & Billing Impact

Chronic obstructive pulmonary disease significantly impacts population health, contributing to increased morbidity and mortality rates. It is a leading cause of hospitalization and healthcare utilization, particularly among older adults and smokers. Quality measures often focus on smoking cessation, management of exacerbations, and patient education to improve outcomes. Epidemiologically, COPD prevalence is rising globally, necessitating effective management strategies to reduce its burden on healthcare systems.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J44?

J44 covers chronic obstructive pulmonary disease that does not fall under the specific categories of chronic bronchitis or emphysema. This includes patients with overlapping symptoms of both conditions or those with COPD exacerbations.

When should J44 be used instead of related codes?

J44 should be used when the patient has a confirmed diagnosis of COPD that does not meet the criteria for J40 or J41, particularly when the clinical picture is complex or multifactorial.

What documentation supports J44?

Documentation should include a comprehensive patient history, physical examination findings, results from pulmonary function tests, and any imaging studies that support the diagnosis of COPD.