J68.4
Billable codeChronic respiratory conditions due to chemicals, gases, fumes and vapors
The ICD-10 code for chronic respiratory conditions due to chemicals, gases, fumes and vapors is J68.4.
Clinical notes
Code also
Two codes may be needed to fully describe a condition, but unlike Code First/Use Additional Code, the sequencing order is not mandated by convention.
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- chronic pulmonary edema due to chemicals, gases, fumes and vapors (J68.1)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- J68.0Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
- J68.1Pulmonary edema due to chemicals, gases, fumes and vapors
- J68.2Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified
- J68.3Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors
- J68.8Other respiratory conditions due to chemicals, gases, fumes and vapors
- J68.9Unspecified respiratory condition due to chemicals, gases, fumes and vapors
- J68.4Chronic respiratory conditions due to chemicals, gases, fumes and vapors
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 5064
Associated MS-DRGs
J68.4 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.