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

ICD-10 J98.4

Billable / Specific

Other disorders of lung

J98
Block
4
Synonyms
102
LCDs
11
Payer Policies
5
Linked CPTs

About ICD-10-CM J98.4

ICD-10-CM code J98.4 represents Other disorders of lung. This is a billable/specific code in the Respiratory System chapter (block J98). The 2026 edition of ICD-10-CM J98.4 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J98.4. Per CMS ICD-10-CM Tabular 2026.

  • Calcification of lung
  • Cystic lung disease (acquired)
  • Lung disease NOS
  • Pulmolithiasis

Type 1 Excludes

Pure excludes, these codes can never be coded together with J98.4. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • acute interstitial pneumonitis (J84.114)
  • pulmonary insufficiency following surgery (J95.1-J95.2)

Medicare LCD Coverage for J98.4

Local Coverage Determinations (LCDs) from CMS MACs that list J98.4 as a covered diagnosis.

102 LCDs

Showing top 10 of 102 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J98.4.

11 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Respiratory Therapy (Respiratory Care)
Policy ID: ART-56717
Billing and Coding: Respiratory Therapy and Oximetry Services
Policy ID: ART-56730
Billing and Coding: Heavy Metal Testing
Policy ID: ART-56767
Billing and Coding: Noninvasive Ear or Pulse Oximetry For Oxygen Saturation
Policy ID: ART-57115

3 Aetna

Pectus Excavatum and Poland's Syndrome: Surgical Correction
Policy ID: CPB-0272
Pulse Oximetry and Capnography for Home Use
Policy ID: CPB-0339
Extracorporeal Membrane Oxygenation (ECMO)
Policy ID: CPB-0546

CPT Codes Commonly Billed with J98.4

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

5 linkages
  • 71250 CT chest without contrast — pulmonary nodule, lung mass, lung cancer, pulmonary mets, chronic cough, dyspnea, pneumothorax, PE, lung disease, hx lung cancer, bronchial neoplasm Radiology
  • 71260 CT chest with contrast — pulmonary embolism, chest pain, dyspnea, wheezing, pulmonary HTN, lung cancer, nodule, thrombophilia Radiology
  • 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
  • 31622 Diagnostic bronchoscopy — pulmonary nodule, lung cancer, hemoptysis, lung disease, chronic cough, pneumonia, lung mets, abnormal sputum cytology Pulmonology

Convert J98.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J98.4 51889 00000

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

ICD-10 J98.4, Billing FAQ

Is ICD-10 code J98.4 billable? +

Yes, J98.4 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 J98.4? +

ICD-10 J98.4 includes: Calcification of lung; Cystic lung disease (acquired); Lung disease NOS, and 1 more clinical synonyms.

What codes are Type 1 Excludes for J98.4? +

Type 1 Excludes (never code together with J98.4): acute interstitial pneumonitis (J84.114); pulmonary insufficiency following surgery (J95.1-J95.2)

What CPT codes are commonly billed with J98.4? +

Procedures frequently paired with J98.4 include: 71250, 71260, 94010, 94060, 31622.

What ICD-9 codes does J98.4 map to? +

Per CMS GEMs, J98.4 maps to ICD-9 codes: 51889. 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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