ICD-10 J44.89
Billable / Specific HCC v28: 111Other specified chronic obstructive pulmonary disease
About ICD-10-CM J44.89
ICD-10-CM code J44.89 represents Other specified chronic obstructive pulmonary disease. This is a billable/specific code in the Respiratory System chapter (block J44). The 2026 edition of ICD-10-CM J44.89 became effective on October 1, 2025.
Coding Tips for J44.89
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
J44.89 is a CMS-HCC v28 risk-adjustment code (category 111). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under J44.89. Per CMS ICD-10-CM Tabular 2026.
- Chronic asthmatic (obstructive) bronchitis
- Chronic emphysematous bronchitis
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for J44.89
Local Coverage Determinations (LCDs) from CMS MACs that list J44.89 as a covered diagnosis.
Showing top 10 of 640 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J44.89.
5 Medicare
Codes Adjacent To J44.89
Other codes in section J40-J4A (Chronic lower respiratory diseases).
ICD-10 J44.89, Billing FAQ
Is ICD-10 code J44.89 billable? +
Yes, J44.89 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 J44.89? +
ICD-10 J44.89 includes: Chronic asthmatic (obstructive) bronchitis; Chronic emphysematous bronchitis.
Does J44.89 affect Medicare Advantage HCC risk adjustment? +
Yes. J44.89 maps to CMS-HCC v28 category 111. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with J44.89? +
Procedures frequently paired with J44.89 include: 94626, 94625.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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