1. Mary Jo Bowie MS, BS, AAS, RHIA, RHIT

2. Diseases of the Respiratory System
CHAPTER 15
Diseases of the Respiratory System

3. Diseases of the Respiratory System—Code Range J00-J99
Diseases of the respiratory system are reported from Chapter 10 of ICD-10-CM.
This chapter contains codes for diseases of the respiratory system.
Numerous instructional notations should be referenced at the start of the chapter.

4. Structures of the Circulatory System
Lungs—Main organ where gas exchange occurs
Trachea—Windpipe
Bronchi—Branches off the trachea
Larynx—Voice box
Pharynx—Throat
Vocal cords—Where sound or speech is produced

5. Structures of the Respiratory System
© Cengage Learning 2014

6. Acute Respiratory Infections—J00-J06
Many common diseases are found here:
J00—Acute nasopharyngitis, common cold
J01—Acute sinusitis
J02—Acute pharyngitis
J03—Acute tonsillitis
J04—Acute laryngitis and tracheitis
J05—Acute obstructive laryngitis [croup] and epiglottis
J06—Acute upper respiratory of multiple and unspecified sites

7. Structures of the Upper Respiratory System
© Cengage Learning 2014

8. Influenza and Pneumonia—J09-J18
Influenza is a highly contagious respiratory
disease caused by various viruses.
Diseases reported here include:
Influenza differentiated by type—J09-J11
Pneumonia differentiated by type—J12-J18

9. Other Acute Lower Respiratory Infections—J20-J22
The categories are differentiated as follows:
J20—Acute bronchitis
J21—Acute bronchiolitis
J22—Unspecified acute lower respiratory infection

10. Other Diseases of Upper Respiratory Tract—J30-J39
These categories report:
Rhinitis
Chronic sinusitis
Nasal polyp
Abscess, furuncle, and carbuncle of nose
Chronic diseases of tonsils and adenoids
Peritonsillar abscess
Chronic laryngitis and diseases of vocal cords and larynx

11. Chronic Lower Respiratory Diseases—J40-J47
These categories report:
Bronchitis
Emphysema
Chronic obstructive pulmonary disease
Asthma
Bronchiectasis

12. Lung Diseases Due to External Agents—J60-J70
This block of codes reports diseases that
are caused by agents such as coal and talc
dust, chemicals, gases, fumes and vapors,
radiation, and drugs.
The coder must identify the agent for proper
code selection.

13. Other Respiratory Diseases Principally Affecting the Interstitium—J80-J84
Diseases reported here include:
Acute respiratory distress syndrome—J80
Pulmonary edema—J81
Pulmonary eosinophilia, NEC—J82
Other interstitial pulmonary diseases—J84

14. Suppurative and Necrotic Conditions of the Lower Respiratory Tract—J85-J86
Diseases reported here include:
Abscess of lung and mediastinum
Pyothorax

15. Other Diseases of the Pleura—J90-J94
The following diseases are reported here:
Pleural effusion
Pleural plaque
Pneumothorax
Other pleural conditions, such as chylous effusion, fibrothorax, hemothorax, and unspecified pleural condition

16. Remaining Categories
J95—Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
J96-J99—Other diseases of the respiratory system

17. Official ICD-10-CM Guidelines for Coding and Reporting
The Official Guidelines address:
COPD and asthma
Acute respiratory failure
Influenza due to avian influenza virus
Ventilator associated pneumonia

18. Coding Practice Select the correct code for:
Acute suppurative pharyngitis

19. Coding Practice Solution
Main term to reference in index:
Pharyngitis
Modifying term:
(Acute) (Suppurative)
Code Assignment:
J02.9