J21 ICD-10-CM Code: Acute bronchiolitis
J21 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools
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FY 2026 Apr update / Diseases of the respiratory system (J00-J99) / Other acute lower respiratory infections (J20-J22)
J21
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceAcute bronchiolitis
Acute bronchiolitis
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for J21 in this effective period.
Excludes 2
Official- respiratory bronchiolitis interstitial lung disease (J84.115)
Related Child Codes
Includes
Official- acute bronchiolitis with bronchospasm
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for J21 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for J21 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for J21 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for J21 in this effective period.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- J21
- Description
- Acute bronchiolitis
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
J21 is the ICD-10-CM diagnosis code for acute bronchiolitis. J21 sits in the ICD-10-CM chapter for diseases of the respiratory system (j00-j99), within the section covering other acute lower respiratory infections (j20-j22).
Header codes like J21 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at J21's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for J21 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Includes
- acute bronchiolitis with bronchospasm
Excludes 2, Not included here, may code separately
- respiratory bronchiolitis interstitial lung disease (J84.115)

