Respiratory documentation should reflect:
The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use.
Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.
| Code | Description (ICD-9 codes are in blue) |
|---|---|
| 786.05 | Shortness of breath |
| R06.02 | Shortness of breath |
| 496 | Chronic airway obstruction, not elsewhere classified |
| J44.9 | Chronic obstructive pulmonary disease, unspecified |
| J44.0 | Chronic obstructive pulmonary disease with acute lower respiratory infection |
|
J44.1 |
Chronic obstructive pulmonary disease with (acute)
exacerbation |
|
|
** Code also type of asthma, if applicable (J45.-) |
|
|
** Use additional code to identify: |
|
|
-exposure to environmental tobacco smoke (Z77.22) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 327.23 | Obstructive sleep apnea (adult) (pediatric) |
| G47.33 | Obstructive sleep apnea (adult)(pediatric) |
|
| ** Code also any associated underlying condition |
| 793.19 | Other nonspecific abnormal finding of lung field |
| R91.8 | Other nonspecific abnormal finding of lung field |
| R91.1 | Solitary pulmonary nodule |
| 786.2 | Cough |
| R05 | Cough |
| 277.02 | Cystic fibrosis with pulmonary manifestations |
| E84.0 | Cystic fibrosis with pulmonary manifestations |
|
| ** Use additional code to identify any infectious organism present, such as: Pseudomonas (896.5) |
| 493.90 | Asthma, unspecified type, unspecified |
| J45.909 | Unspecified asthma, uncomplicated |
| J45.20 | Mild intermittent asthma, uncomplicated |
|
J45.21 |
Mild intermittent asthma with (acute) exacerbation |
|
J45.22 |
Mild intermittent asthma with status asthmaticus |
|
J45.30 |
Mild persistent asthma, uncomplicated |
|
J45.31 |
Mild persistent asthma with (acute) exacerbation |
|
J45.32 |
Mild persistent asthma with status asthmaticus |
|
J45.40 |
Moderate persistent asthma, uncomplicated |
|
J45.41 |
Moderate persistent asthma with (acute) exacerbation |
|
J45.42 |
Moderate persistent asthma with status asthmaticus |
|
J45.50 |
Severe persistent asthma, uncomplicated |
|
J45.51 |
Severe persistent asthma with (acute) exacerbation |
|
J45.52 |
Severe persistent asthma with status asthmaticus |
|
J45.901 |
Unspecified asthma with (acute) exacerbation |
|
J45.902 |
Unspecified asthma with status asthmaticus |
|
J45.990 |
Exercise induced bronchospasm |
|
J45.991 |
Cough variant asthma |
|
J45.998 |
Other asthma |
|
|
* Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81) |
|
|
- history of tobacco use (Z87.891) |
|
|
-occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
-tobacco dependence (F17-) |
|
|
- tobacco use (Z72.0) |
| 515 | Postinflammatory pulmonary fibrosis |
| J84.10 | Pulmonary fibrosis, unspecified |
| J84.89 | Other specified interstitial pulmonary diseases |
| 135 | Sarcoidosis |
| D86.9 | Sarcoidosis, unspecified |
| D86.0 | Sarcoidosis of lung |
|
D86.1 |
Sarcoidosis of lymph nodes |
|
D86.2 |
Sarcoidosis of lung with sarcoidosis of lymph nodes |
|
D86.3 |
Sarcoidosis of skin |
|
D86.8 |
Sarcoidosis of other sites |
|
D86.81 |
Sarcoid meningitis |
|
D86.82 |
Multiple cranial nerve palsies in sarcoidosis |
|
D86.83 |
Sarcoid iridocyclitis |
|
D86.84 |
Sarcoid pyelonephritis |
|
D86.85 |
Sarcoid myocarditis |
|
D86.86 |
Sarcoid athropathy |
|
D86.87 |
Sarcoid myositis |
|
D86.89 |
Sarcoidosis of other sites |
| 516.30 | Idiopathic interstitial pneumonia, not otherwise specified |
| J84.111 | Idiopathic interstitial pneumonia, not otherwise specified |
| 494.0 | Bronchiectasis without acute exacerbation |
| J47.9 | Bronchiectasis, uncomplicated |
|
| ** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17-) |
|
|
- tobacco use (Z72.0) |
| 493.20 | Chronic obstructive asthma, unspecified |
| J44.9 | Chronic obstructive pulmonary disease, unspecified |
|
J44.0 |
Chronic obstructive pulmonary disease with acute lower
respiratory infection |
|
J44.1 |
Chronic obstructive pulmonary disease with (acute)
exacerbation |
|
| ** Code also type of asthma, if applicable (J45.-) |
|
|
** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 340 | Multiple sclerosis |
| G35 | Multiple sclerosis |
| 786.09 | Other respiratory abnormalities |
| R06.00 | Dyspnea, unspecified |
| R06.09 | Other forms of dyspnea |
|
R06.3 |
Periodic breathing |
|
R06.83 |
Snoring |
|
R06.89 |
Other abnormalities of breathing |
|
R06.4 |
Hyperventilation |
| 491.20 | Obstructive chronic bronchitis without exacerbation |
| J44.9 | Chronic obstructive pulmonary disease, unspecified |
|
| ** Code also type of asthma, if applicable (J45.-) |
|
|
** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 519.8 | Other diseases of respiratory system, not elsewhere classified |
| J98.8 | Other specified respiratory disorders |
|
| ** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 327.8 | Other organic sleep disorders |
| G47.8 | Other sleep disorders |
| 492.8 | Other emphysema |
| J43.8 | Other emphysema |
|
| ** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 786.6 | Swelling, mass, or lump in chest |
| R22.2 | Localized swelling, mass and lump, trunk |
| 780.57 | Unspecified sleep apnea |
| G47.30 | Sleep apnea, unspecified |
| 710.1 | Systemic sclerosis |
| M34.9 | Systemic sclerosis, unspecified |
| M34.0 | Progressive systemic sclerosis |
|
M34.1 |
CR(E)ST syndrome |
|
M34.2 |
Systemic sclerosis induced by drug and chemical |
|
|
** Code first poisoning due to drug or toxin, if applicable (T36-
T65 with fifth or sixth character 1-4 or 6) |
|
|
** Use additional code for adverse effect, if applicable, to iden·
tify drug (T35-T50 with fifth or sixth character 5) |
|
M34.81 |
Systemic sclerosis with lung involvement |
|
M34.82 |
Systemic sclerosis with myopathy |
|
M34.83 |
Systemic sclerosis with polyneuropathy |
|
M34.89 |
Other systemic sclerosis |
| 162.9 | Malignant neoplasm of bronchus and lung, unspecified |
| C34.90 | Malignant neoplasm of unspecified part of unspecified bronchus or lung |
| C34.00 | Malignant neoplasm of unspecified main bronchus |
|
C34.01 |
Malignant neoplasm of right main bronchus |
|
C34.02 |
Malignant neoplasm of left main bronchus |
|
C34.10 |
Malignant neoplasm of upper lobe, unspecified
bronchus or lung |
|
C34.11 |
Malignant neoplasm of upper lobe, right bronchus or
lung |
|
C34.12 |
Malignant neoplasm of upper lobe, left bronchus or lung |
|
C34.2 |
Malignant neoplasm of middle lobe, bronchus or lung |
|
C34.30 |
Malignant neoplasm of lower lobe, unspecified
bronchus or lung |
|
C34.31 |
Malignant neoplasm of lower lobe, right bronchus or
lung |
|
C34.32 |
Malignant neoplasm of lower lobe, left bronchus or lung |
|
C34.80 |
Malignant neoplasm of overlapping sites of unspecified
bronchus or lung |
|
C34.81 |
Malignant neoplasm of overlapping sites of right
bronchus or lung |
|
C34.82 |
Malignant neoplasm of overlapping sites of left
bronchus or lung |
|
C34.91 |
Malignant neoplasm of unspecified part of right
bronchus or lung |
|
C34.92 |
Malignant neoplasm of unspecified part of left bronchus
or lung |
|
|
** Use additional code to identify: |
|
|
- alcohol use and dependence (F10.-) |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 486 | Pneumonia, organism unspecified |
| J18.9 | Pneumonia, unspecified organism |
| J18.8 | Other pneumonia, unspecified organism |
|
|
** Code first associated influenza. if applicable (J09.X1, J10.0- to
J11.0-) |
| 785.6 | Enlargement of lymph nodes |
| R59.9 | Enlarged lymph nodes, unspecified |
| R59.0 | Localized enlarged lymph nodes |
|
R59.1 |
Generalized enlarged lymph nodes |
| 465.9 | Acute upper respiratory infections of unspecified site |
| J06.9 | Acute upper respiratory infection, unspecified |
| J39.8 | Other specified diseases of upper respiratory tract |
| 511.9 | Unspecified pleural effusion |
| J91.8 | Pleural effusion in other conditions classified elsewhere |
|
| ** Code first underlying disease, such as: |
|
| - filariasis (874.0-874.9) |
|
|
- influenza (J09.X2, J10.1, J1 1.1) |
| V81.4 | Screening for other and unspecified respiratory conditions |
| Z13.83 | Encounter for screening for respiratory disorder NEC |
| 493.81 | Exercise induced bronchospasm |
| J45.990 | Exercise induced bronchospasm |
|
| - exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 494.1 | Bronchiectasis with acute exacerbation |
| J47.1 | Bronchiectasis with (acute) exacerbation |
|
| ** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 416.0 | Primary pulmonary hypertension |
| I27.0 | Primary pulmonary hypertension |
| 786.50 | Chest pain, unspecified |
| R07.9 | Chest pain, unspecified |
| R07.1 | Chest pain on breathing |
|
R07.2 |
Precordial pain |
|
R07.81 |
Pleurodynia |
|
R07.82 |
Intercostal pain |
|
R07.89 |
Other chest pain |
| 466.19 | Acute bronchiolitis due to other infectious organisms |
| J21.8 | Acute bronchiolitis due to other specified organisms |
| 799.02 | Hypoxemia |
| R09.02 | Hypoxemia |
| 786.07 | Wheezing |
| R06.2 | Wheezing |
| 327.00 | Organic insomnia, unspecified |
| G47.01 |
Insomnia due to medical condition |
|
| ** Code also associated medical condition |
| 786.30 | Hemoptysis, unspecified |
| R04.2 | Hemoptysis |
| R04.9 | Hemorrhage from respiratory passages, unspecified |
| P26.9 |
Unspecified pulmonary hemorrhage originating in the
perinatal period |
|
R04.81 |
Acute idiopathic pulmonary hemorrhage in infants |
|
R04.89 |
Hemorrhage from other sites in respiratory passages |
| 031.0 | Pulmonary diseases due to other mycobacteria |
| A31.0 | Pulmonary mycobacterial infection |
| 516.8 | Other specified alveolar and parietoalveolar pneumonopathies |
| J84.09 | Other alveolar and parieto-alveolar conditions |
| 491.21 | Obstructive chronic bronchitis with (acute) exacerbation |
| J44.1 | Chronic obstructive pulmonary disease with (acute) exacerbation |
|
| ** Code also type of asthma. if applicable (J45.-) |
|
|
** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 031.2 | Disseminated due to other mycobacteria |
| A31.2 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| 162.3 | Malignant neoplasm of upper lobe, bronchus or lung |
| C34.10 | Malignant neoplasm of upper lobe, unspecified bronchus or lung |
| C43.11 | Malignant neoplasm of upper lobe, right bronchus or lung |
|
C43.12 |
Malignant neoplasm of upper lobe, left bronchus or lung |
|
|
** Use additional code to identify: |
|
|
- alcohol use and dependence (F10.-) |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 428.0 | Congestive heart failure, unspecified |
| I50.9 | Heart failure, unspecified |
|
I50.1 |
Left ventricular failure |
|
I50.21 |
Acute systolic (congestive) heart failure |
|
I50.22 |
Chronic systolic (congestive) heart failure |
|
I50.23 |
Acute on chronic systolic (congestive) heart failure |
|
I50.30 |
Unspecified diastolic (congestive) heart failure |
|
I50.31 |
Acute diastolic (congestive) heart failure |
|
I50.32 |
Chronic diastolic (congestive) heart failure |
|
I50.33 |
Acute on chronic diastolic (congestive) heart failure |
|
I50.40 |
Unspecified combined systolic (congestive) and diastolic
(congestive) heart failure |
|
I50.41 |
Acute combined systolic (congestive) and diastolic (congestive)
heart failure |
|
I50.42 |
Chronic combined systolic (congestive) and diastolic
(congestive) heart failure |
|
I50.43 |
Acute on chronic combined systolic (congestive) and
diastolic (congestive) heart failure |
|
| ** Code first: |
|
|
- heart failure complicating abortion or ectopic or molar
pregnancy (O00-O07, O08.8) |
|
|
heart failure following surgery (I97.13-) |
|
|
- heart failure due to hypertension (I11.0) |
|
|
- heart failure due to hypertension with chronic kidney disease
(I13-) |
|
|
obstetric surgery and procedures (O75.4) |
|
|
- rheumatic heart failure (I09.81) |
|
V72.82 | Pre-operative respiratory examination |
| Z01.811 | Encounter for pre-procedural respiratory examination |
| 519.4 | Disorders of diaphragm |
| J98.6 | Disorders of diaphragm |
|
| ** Use additional code to identify: |
|
|
- alcohol use and dependence (F10.-) |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- exposure to tobacco smoke in the perinatal period (P96.81 |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |
| 078.5 | Cytomegaloviral disease |
| B25.9 | Cytomegaloviral disease, unspecified |
|
B25.0 | Cytomegalovirus pneumonitis |
|
B25.1 |
Cytomegalovirus hepatitis |
|
B25.2 |
Cytomegalovirus pancreatitis |
|
B25.8 |
Other cytomegaloviral disease |
| 277.00 | Cystic fibrosis without mention of meconium ileus |
| E84.9 | Cystic fibrosis, unspecified |
| E84.0 | Cystic fibrosis with pulmonary manifestations |
|
|
** Use additional code to identify any infectious organism
present, such as: Pseudomonas (B96.5) |
|
E84.11 |
Meconium ileus in cystic fibrosis |
|
E84.19 |
Cystic fibrosis with other intestinal manifestations |
|
E84.8 |
Cystic fibrosis with other manifestations |
| 273.4 | Alpha-1-antitrypsin deficiency |
| E88.01 | Alpha-1-antitrypsin deficiency |
|
| ** Use additional codes for associated conditions |
| 530.81 | Esophageal reflux |
| K21.9 | Gastro-esophageal reflux disease without esophagitis |
|
K21.0 | Gastro-esophageal reflux disease with esophagitis |
| 327.51 | Periodic limb movement disorder |
| G47.61 | Periodic limb movement disorder |
| 514 | Pulmonary congestion and hypostasis |
| J81.1 | Chronic pulmonary edema |
|
| ** Use additional code to identify: |
|
|
- exposure to environmental tobacco smoke (Z77.22) |
|
|
- history of tobacco use (Z87.891) |
|
|
- occupational exposure to environmental tobacco smoke
(Z57.31) |
|
|
- tobacco dependence (F17.-) |
|
|
- tobacco use (Z72.0) |