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

ICD-10 J45.909

Billable / Specific

Unspecified asthma, uncomplicated

J45
Block
1
Synonyms
484
LCDs
32
Payer Policies
23
Linked CPTs

About ICD-10-CM J45.909

ICD-10-CM code J45.909 represents Unspecified asthma, uncomplicated. This is a billable/specific code in the Respiratory System chapter (block J45). The 2026 edition of ICD-10-CM J45.909 became effective on October 1, 2025.

Coding Tips for J45.909

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

Specificity warning

Asthma unspecified uncomplicated. If severity is documented (mild intermittent, mild persistent, moderate persistent, severe persistent), use the specific code.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J45.909. Per CMS ICD-10-CM Tabular 2026.

  • Asthma NOS

Type 2 Excludes

Not included here, the excluded code is not part of J45.909, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • lung diseases due to external agents (J60-J70)

Medicare LCD Coverage for J45.909

Local Coverage Determinations (LCDs) from CMS MACs that list J45.909 as a covered diagnosis.

484 LCDs

Showing top 10 of 484 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 J45.909.

32 policies

5 Medicare

Nebulizers - Policy Article
Policy ID: ART-52466
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
Billing and Coding: Allergy Skin Testing
Policy ID: ART-56559

CPT Codes Commonly Billed with J45.909

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 J45.909 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J45.909 49390 10000

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

ICD-10 J45.909, Billing FAQ

Is ICD-10 code J45.909 billable? +

Yes, J45.909 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 J45.909? +

ICD-10 J45.909 includes: Asthma NOS.

What codes are Type 2 Excludes for J45.909? +

Type 2 Excludes (may be coded together when both conditions exist): lung diseases due to external agents (J60-J70)

What CPT codes are commonly billed with J45.909? +

Procedures frequently paired with J45.909 include: 95144, 95180, 95117, 86003, 86001.

What ICD-9 codes does J45.909 map to? +

Per CMS GEMs, J45.909 maps to ICD-9 codes: 49390. 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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