ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J40

Billable / Specific

Bronchitis, not specified as acute or chronic

J40
Block
4
Synonyms
263
LCDs
13
Payer Policies
1
Linked CPTs

About ICD-10-CM J40

ICD-10-CM code J40 represents Bronchitis, not specified as acute or chronic. This is a billable/specific code in the Respiratory System chapter (block J40). The 2026 edition of ICD-10-CM J40 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J40. Per CMS ICD-10-CM Tabular 2026.

  • Bronchitis NOS
  • Bronchitis with tracheitis NOS
  • Catarrhal bronchitis
  • Tracheobronchitis NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with J40. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • acute bronchitis (J20.-)
  • allergic bronchitis NOS (J45.909)
  • asthmatic bronchitis NOS (J45.9-)
  • bronchitis due to chemicals, gases, fumes and vapors (J68.0)

Use Additional Code

When coding J40, also report these additional codes when applicable.

  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Medicare LCD Coverage for J40

Local Coverage Determinations (LCDs) from CMS MACs that list J40 as a covered diagnosis.

263 LCDs

Showing top 10 of 263 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J40.

13 policies

5 Aetna

Oxygen - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0002
Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Pulmonary Rehabilitation - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0032
Peak Flow Meters - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0059
Chest Physiotherapy and Airway Clearance Devices - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0067

5 Medicare

Nebulizers - Policy Article
Policy ID: ART-52466
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Respiratory Therapy (Respiratory Care)
Policy ID: ART-56717

CPT Codes Commonly Billed with J40

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 94620 Pulmonary function testing for respiratory symptoms Internal Medicine

Convert J40 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J40 490 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 J40, Billing FAQ

Is ICD-10 code J40 billable? +

Yes, J40 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to J40? +

ICD-10 J40 includes: Bronchitis NOS; Bronchitis with tracheitis NOS; Catarrhal bronchitis, and 1 more clinical synonyms.

What codes are Type 1 Excludes for J40? +

Type 1 Excludes (never code together with J40): acute bronchitis (J20.-); allergic bronchitis NOS (J45.909); asthmatic bronchitis NOS (J45.9-)

What CPT codes are commonly billed with J40? +

Procedures frequently paired with J40 include: 94620.

What ICD-9 codes does J40 map to? +

Per CMS GEMs, J40 maps to ICD-9 codes: 490. Useful for legacy data review and historical claim analysis.

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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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