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

ICD-10 J45.40

Billable / Specific

Moderate persistent asthma, uncomplicated

J45
Block
1
Synonyms
614
LCDs
42
Payer Policies
33
Linked CPTs

About ICD-10-CM J45.40

ICD-10-CM code J45.40 represents Moderate persistent asthma, uncomplicated. This is a billable/specific code in the Respiratory System chapter (block J45). The 2026 edition of ICD-10-CM J45.40 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J45.40. Per CMS ICD-10-CM Tabular 2026.

  • Moderate persistent asthma NOS

Medicare LCD Coverage for J45.40

Local Coverage Determinations (LCDs) from CMS MACs that list J45.40 as a covered diagnosis.

614 LCDs

Showing top 10 of 614 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 J45.40.

42 policies

5 Medicare

Billing and Coding: Omalizumab and biosimilar, OMLYCLO� (omalizumab-igec)
Policy ID: ART-52448
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

CPT Codes Commonly Billed with J45.40

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

33 linkages
  • 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
  • 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

Convert J45.40 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J45.40 49300 10000
J45.40 49310 10000

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

ICD-10 J45.40, Billing FAQ

Is ICD-10 code J45.40 billable? +

Yes, J45.40 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 J45.40? +

ICD-10 J45.40 includes: Moderate persistent asthma NOS.

What CPT codes are commonly billed with J45.40? +

Procedures frequently paired with J45.40 include: 94010, 94060, 95144, 95180, 95117.

What ICD-9 codes does J45.40 map to? +

Per CMS GEMs, J45.40 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 June 1, 2026.

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