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J44.81

Bronchiolitis obliterans and bronchiolitis obliterans syndrome

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 17 never code together
J44code
Excludes2
  • bronchiectasis (J47.-)J47.-
  • chronic bronchitis NOS (J42)J42
  • chronic simple and mucopurulent bronchitis (J41.-)J41.-
  • chronic tracheitis (J42)J42
  • chronic tracheobronchitis (J42)J42
  • emphysema without chronic bronchitis (J43.-)J43.-
J40-J4Ablock
Excludes1
  • bronchitis due to chemicals, gases, fumes and vapors (J68.0)J68.0
Excludes2
  • cystic fibrosis (E84.-)E84.-
J00-J99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • smoke inhalation (T59.81-)T59.81-
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 29
J44code
Includes
  • asthma with chronic obstructive pulmonary disease
  • chronic asthmatic (obstructive) bronchitis
  • chronic bronchitis with airway obstruction
  • chronic bronchitis with emphysema
  • chronic emphysematous bronchitis
  • chronic obstructive asthma
  • chronic obstructive bronchitis
  • chronic obstructive tracheobronchitis
Code also
  • type of asthma, if applicable (J45.-)J45.-
J44.81code
Inclusion terms
  • Obliterative bronchiolitis
Code first
  • , if applicable:
  • complication of bone marrow transplant (T86.09)T86.09
  • complication of stem cell transplant (T86.5)T86.5
  • heart-lung transplant rejection (T86.31)T86.31
  • lung transplant rejection (T86.810)T86.810
  • other complications of heart-lung transplant (T86.39)T86.39
  • other complications of lung transplant (T86.818)T86.818
Code also
  • , if applicable, associated conditions, such as:
  • chronic graft-versus-host disease (D89.811)D89.811
  • chronic lung allograft dysfunction (J4A.-)J4A.-
  • chronic respiratory conditions due to chemicals, gases, fumes and vapors (J68.4)J68.4
J00-J99chapter
Notes
  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).J40
Use additional code
  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)Z77.22
  • exposure to tobacco smoke in the perinatal period (P96.81)P96.81
  • history of tobacco dependence (Z87.891)Z87.891
  • occupational exposure to environmental tobacco smoke (Z57.31)Z57.31
  • tobacco dependence (F17.-)F17.-
  • tobacco use (Z72.0)Z72.0
Index entries leading here 2
  • Syndrome — see also Disease
    • obliterans
    • bronchiolitis obliterans J44.81
  • Bronchiolitis (acute) (infective) (subacute) J21.9
    • fibrosa obliterans J44.81
    • obliterans J44.81
    • chronic (fibrosing) J44.89
    • obliterative (chronic) (subacute) J44.81
      • due to chemicals, gases, fumes or vapors (inhalation) J44.81
      • due to fumes or vapors J44.81
Alongside this code 1 same parent — J44.8
Medications 2

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC111 · HCC112 CMS28HCC280 ESRD21HCC111 · HCC112 ESRD24HCC111 · HCC112 RX08HCC229

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
J44.8
Block
J40-J4A
Siblings
1

Present FY2024–FY2027.