ICD-10 J98.6
Billable / SpecificDisorders of diaphragm
About ICD-10-CM J98.6
ICD-10-CM code J98.6 represents Disorders of diaphragm. This is a billable/specific code in the Respiratory System chapter (block J98). The 2026 edition of ICD-10-CM J98.6 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under J98.6. Per CMS ICD-10-CM Tabular 2026.
- Diaphragmatitis
- Paralysis of diaphragm
- Relaxation of diaphragm
Type 1 Excludes
Pure excludes, these codes can never be coded together with J98.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- congenital malformation of diaphragm NEC (Q79.1)
- congenital diaphragmatic hernia (Q79.0)
Type 2 Excludes
Not included here, the excluded code is not part of J98.6, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- diaphragmatic hernia (K44.-)
Medicare LCD Coverage for J98.6
Local Coverage Determinations (LCDs) from CMS MACs that list J98.6 as a covered diagnosis.
Showing top 10 of 77 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J98.6.
2 Aetna
5 Medicare
CPT Codes Commonly Billed with J98.6
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.
Convert J98.6 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| J98.6 | 5194 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To J98.6
Other codes in section J96-J99 (Other diseases of the respiratory system).
ICD-10 J98.6, Billing FAQ
Is ICD-10 code J98.6 billable? +
Yes, J98.6 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 J98.6? +
ICD-10 J98.6 includes: Diaphragmatitis; Paralysis of diaphragm; Relaxation of diaphragm.
What codes are Type 1 Excludes for J98.6? +
Type 1 Excludes (never code together with J98.6): congenital malformation of diaphragm NEC (Q79.1); congenital diaphragmatic hernia (Q79.0)
What codes are Type 2 Excludes for J98.6? +
Type 2 Excludes (may be coded together when both conditions exist): diaphragmatic hernia (K44.-)
What ICD-9 codes does J98.6 map to? +
Per CMS GEMs, J98.6 maps to ICD-9 codes: 5194. 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 16, 2026.
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