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

ICD-10 J45.998

Billable / Specific

Other asthma

J45
Block
0
Synonyms
533
LCDs
31
Payer Policies
20
Linked CPTs

About ICD-10-CM J45.998

ICD-10-CM code J45.998 represents Other asthma. This is a billable/specific code in the Respiratory System chapter (block J45). The 2026 edition of ICD-10-CM J45.998 became effective on October 1, 2025.

Medicare LCD Coverage for J45.998

Local Coverage Determinations (LCDs) from CMS MACs that list J45.998 as a covered diagnosis.

533 LCDs

Showing top 10 of 533 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 J45.998.

31 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: Allergy Testing
Policy ID: ART-56558

CPT Codes Commonly Billed with J45.998

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

20 linkages
  • 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
  • 95018 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 82785 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95017 CMS LCD: Billing and Coding: Allergy Testing CMS LCD

Convert J45.998 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J45.998 49390 10000

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

ICD-10 J45.998, Billing FAQ

Is ICD-10 code J45.998 billable? +

Yes, J45.998 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with J45.998? +

Procedures frequently paired with J45.998 include: 86003, 86001, 86005, 95070, 95052.

What ICD-9 codes does J45.998 map to? +

Per CMS GEMs, J45.998 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 July 18, 2026.

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