ICD-10 J98
Non-Billable HeaderOther respiratory disorders
About ICD-10-CM J98
ICD-10-CM code J98 represents Other respiratory disorders. This is a non-billable header code in the Respiratory System chapter (block J98). The 2026 edition of ICD-10-CM J98 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with J98. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- newborn apnea (P28.4-)
- newborn sleep apnea (P28.3-)
Type 2 Excludes
Not included here, the excluded code is not part of J98, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- apnea NOS (R06.81)
- sleep apnea (G47.3-)
Use Additional Code
When coding J98, also report these additional codes when applicable.
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Medicare LCD Coverage for J98
Local Coverage Determinations (LCDs) from CMS MACs that list J98 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J98.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J98 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with J98
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To J98
Other codes in section J96-J99 (Other diseases of the respiratory system).
ICD-10 J98, Billing FAQ
Is ICD-10 code J98 billable? +
No, J98 is a non-billable header code. Use a more specific child code from block J98 when submitting claims.
What codes are Type 1 Excludes for J98? +
Type 1 Excludes (never code together with J98): newborn apnea (P28.4-); newborn sleep apnea (P28.3-)
What codes are Type 2 Excludes for J98? +
Type 2 Excludes (may be coded together when both conditions exist): apnea NOS (R06.81); sleep apnea (G47.3-)
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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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