ICD-10 J98.1
Non-Billable HeaderPulmonary collapse
About ICD-10-CM J98.1
ICD-10-CM code J98.1 represents Pulmonary collapse. This is a non-billable header code in the Respiratory System chapter (block J98). The 2026 edition of ICD-10-CM J98.1 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 J98.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- therapeutic collapse of lung status (Z98.3)
Medicare LCD Coverage for J98.1
Local Coverage Determinations (LCDs) from CMS MACs that list J98.1 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 J98.1.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J98.1 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with J98.1
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 J98.1
Other codes in section J96-J99 (Other diseases of the respiratory system).
ICD-10 J98.1, Billing FAQ
Is ICD-10 code J98.1 billable? +
No, J98.1 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 J98.1? +
Type 1 Excludes (never code together with J98.1): therapeutic collapse of lung status (Z98.3)
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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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