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

ICD-10 J45.32

Billable / Specific CC

Mild persistent asthma with status asthmaticus

J45
Block
0
Synonyms
1,123
LCDs
41
Payer Policies
23
Linked CPTs

About ICD-10-CM J45.32

ICD-10-CM code J45.32 represents Mild persistent asthma with status asthmaticus. This is a billable/specific code in the Respiratory System chapter (block J45). The 2026 edition of ICD-10-CM J45.32 became effective on October 1, 2025.

Coding Tips for J45.32

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

J45.32 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Mild persistent asthma with status asthmaticus. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for J45.32

Local Coverage Determinations (LCDs) from CMS MACs that list J45.32 as a covered diagnosis.

1,123 LCDs

Showing top 10 of 1,123 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 J45.32.

41 policies

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: Allergy Testing
Policy ID: ART-56558

CPT Codes Commonly Billed with J45.32

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

23 linkages
  • 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
  • 95117 CMS LCD: Billing and Coding: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) CMS LCD
  • 86003 CMS LCD: Billing and Coding: RAST Type Tests CMS LCD
  • 86001 CMS LCD: Billing and Coding: RAST Type Tests CMS LCD
  • 86005 CMS LCD: Billing and Coding: RAST Type Tests CMS LCD
  • 95070 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95052 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95065 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95027 CMS LCD: Billing and Coding: Allergy Testing CMS LCD

Convert J45.32 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J45.32 49301 10000
J45.32 49311 10000

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

ICD-10 J45.32, Billing FAQ

Is ICD-10 code J45.32 billable? +

Yes, J45.32 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is J45.32 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with J45.32? +

Procedures frequently paired with J45.32 include: 95144, 95180, 95117, 86003, 86001.

What ICD-9 codes does J45.32 map to? +

Per CMS GEMs, J45.32 maps to ICD-9 codes: 49301, 49311. 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 May 31, 2026.

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