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

ICD-10 J45.20

Billable / Specific

Mild intermittent asthma, uncomplicated

J45
Block
1
Synonyms
575
LCDs
42
Payer Policies
37
Linked CPTs

About ICD-10-CM J45.20

ICD-10-CM code J45.20 represents Mild intermittent asthma, uncomplicated. This is a billable/specific code in the Respiratory System chapter (block J45). The 2026 edition of ICD-10-CM J45.20 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J45.20. Per CMS ICD-10-CM Tabular 2026.

  • Mild intermittent asthma NOS

Medicare LCD Coverage for J45.20

Local Coverage Determinations (LCDs) from CMS MACs that list J45.20 as a covered diagnosis.

575 LCDs

Showing top 10 of 575 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 82785 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 86003 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J45.20.

42 policies

4 Aetna

Oxygen - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0002
Allergy and Hypersensitivity - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0038
Chest Physiotherapy and Airway Clearance Devices - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0067
Antepartum Fetal Surveillance - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0088

5 Medicare

Nebulizers - Policy Article
Policy ID: ART-52466
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Allergen Immunotherapy
Policy ID: ART-56538

CPT Codes Commonly Billed with J45.20

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

37 linkages
  • 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
  • 99204 New patient office visit — multiple chronic conditions: HTN, T2DM, hyperlipidemia, asthma, anxiety, depression, obesity, IBS, COPD, thyroid, anemia, CAD, sleep apnea, psoriasis, RA Primary Care
  • 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
  • 91035 Esophageal pH monitoring — GERD evaluation, heartburn, retrosternal chest pain, dysphagia, asthma with suspected GERD, chronic cough, Barrett Gastroenterology
  • 94010 Spirometry — asthma all severity, COPD, COPD with exacerbation, dyspnea, wheezing, chronic cough, pulmonary disease, pulmonary fibrosis Pulmonology
  • 94060 Spirometry pre and post bronchodilator — asthma diagnosis/monitoring, dyspnea, wheezing, chronic cough Pulmonology
  • 95004 Allergy skin prick testing — allergic rhinitis, pollen allergy, animal allergy, food allergy, asthma, atopic dermatitis, anaphylaxis, urticaria, allergic contact dermatitis, allergic gastroenteritis Allergy
  • 95115 Allergen immunotherapy injection — allergic rhinitis, asthma, food allergy, insect venom allergy, allergy status Allergy
  • 95144 CMS LCD: Billing and Coding: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) CMS LCD
  • 95180 CMS LCD: Billing and Coding: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) CMS LCD

Convert J45.20 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J45.20 49300 10000
J45.20 49310 10000

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

ICD-10 J45.20, Billing FAQ

Is ICD-10 code J45.20 billable? +

Yes, J45.20 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 J45.20? +

ICD-10 J45.20 includes: Mild intermittent asthma NOS.

What CPT codes are commonly billed with J45.20? +

Procedures frequently paired with J45.20 include: 99203, 99204, 99213, 91035, 94010.

What ICD-9 codes does J45.20 map to? +

Per CMS GEMs, J45.20 maps to ICD-9 codes: 49300, 49310. 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 July 16, 2026.

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