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J4A.0

Restrictive allograft syndrome

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 11 never code together
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 15
J4Acode
Code first
  • , if applicable:
  • 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, bronchiolitis obliterans syndrome (J44.81)J44.81
J4A.0code
Code also
  • , if applicable, for mixed chronic lung allograft dysfunction, bronchiolitis obliterans syndrome (J44.81)J44.81J44.81
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
  • Dysfunction
  • Syndrome — see also Disease
    • restrictive allograft J4A.0
Alongside this code 2 same parent — J4A
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

CMS22HCC186 CMS28HCC276 ESRD21HCC186 ESRD24HCC186 RX08HCC396

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This code

Billable
yes
Code set
FY2026
Parent
J4A
Block
J40-J4A
Siblings
2

Present FY2024–FY2027.