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J40 ICD-10-CM Code: Bronchitis, not specified as acute or chronic

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FY 2026 Apr update / Diseases of the respiratory system (J00-J99) / Chronic lower respiratory diseases (J40-J4A)

J40

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Bronchitis, not specified as acute or chronic

Inflammation of the airways in the lungs (bronchitis) without clear indication of whether it is acute or chronic in nature.

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

Official
J4Chronic lower respiratory diseases (J40-J4A)
J40Bronchitis, not specified as acute or chronic

Inclusion Terms

Official
  • Bronchitis NOS
  • Bronchitis with tracheitis NOS
  • Catarrhal bronchitis
  • Tracheobronchitis NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for J40 in this effective period.

Related Child Codes

Official

ICD-10-CM does not list child codes under J40 for this display context.

Includes

Official

ICD-10-CM does not list Includes notes for J40 in this effective period.

Excludes 1

Official
  • acute bronchitis (J20.-)
  • allergic bronchitis NOS (J45.909)
  • asthmatic bronchitis NOS (J45.9-)
  • bronchitis due to chemicals, gases, fumes and vapors (J68.0)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for J40 in this effective period.

Use Additional

Official
  • 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)

Code Also

Official

ICD-10-CM does not list Code Also instructions for J40 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Query the provider to determine if bronchitis is acute or chronic, as more specific codes (J20 for acute, J41-J42 for chronic) are preferred
Document the duration and characteristics of symptoms to support acute versus chronic classification

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is J40 an HCC code?

No. J40 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

J40 is the ICD-10-CM diagnosis code for bronchitis, not specified as acute or chronic. Inflammation of the airways in the lungs (bronchitis) without clear indication of whether it is acute or chronic in nature. J40 sits in the ICD-10-CM chapter for diseases of the respiratory system (j00-j99), within the section covering chronic lower respiratory diseases (j40-j4a).

J40 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Query the provider to determine if bronchitis is acute or chronic, as more specific codes (J20 for acute, J41-J42 for chronic) are preferred.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for J40 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Query the provider to determine if bronchitis is acute or chronic, as more specific codes (J20 for acute, J41-J42 for chronic) are preferred
  • Document the duration and characteristics of symptoms to support acute versus chronic classification

Excludes 1, Do NOT code together

  • acute bronchitis (J20.-)
  • allergic bronchitis NOS (J45.909)
  • asthmatic bronchitis NOS (J45.9-)
  • bronchitis due to chemicals, gases, fumes and vapors (J68.0)

Use Additional Code

  • 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)

Code Hierarchy

J40Bronchitis, not specified as acute or chronic
J40Bronchitis, not specified as acute or chronic

Work J40 in HCC Buddy

Open J40 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.