ICD-10 J39
Non-Billable HeaderOther diseases of upper respiratory tract
About ICD-10-CM J39
ICD-10-CM code J39 represents Other diseases of upper respiratory tract. This is a non-billable header code in the Respiratory System chapter (block J39). The 2026 edition of ICD-10-CM J39 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with J39. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- acute respiratory infection NOS (J22)
- acute upper respiratory infection (J06.9)
- upper respiratory inflammation due to chemicals, gases, fumes or vapors (J68.2)
Medicare LCD Coverage for J39
Local Coverage Determinations (LCDs) from CMS MACs that list J39 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J39.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J39 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with J39
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To J39
Other codes in section J30-J39 (Other diseases of upper respiratory tract).
ICD-10 J39, Billing FAQ
Is ICD-10 code J39 billable? +
No, J39 is a non-billable header code. Use a more specific child code from block J39 when submitting claims.
What codes are Type 1 Excludes for J39? +
Type 1 Excludes (never code together with J39): acute respiratory infection NOS (J22); acute upper respiratory infection (J06.9); upper respiratory inflammation due to chemicals, gases, fumes or vapors (J68.2)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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