J47.9 ICD-10-CM Code: Bronchiectasis, uncomplicated

Code

J47.9

Description

Bronchiectasis, uncomplicated

HCC (V28)

HCC 280 — Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders

RAF reference coefficient

0.319

Billable

Yes

Payment year

2026

HCC Category Mapping

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work J47.9 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for J47.9

What This Code Means

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for J47.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

• •Verify documentation specifies 'uncomplicated' status; if acute exacerbation, infection, or other complications are present, use a more specific code (J47.0-J47.8)
• •Bronchiectasis is typically a chronic condition requiring long-term management; ensure this code is used consistently across encounters unless the patient's status changes

Clinical Significance

Bronchiectasis, uncomplicated captures the stable chronic condition of permanently dilated bronchial airways without current infection or exacerbation. Bronchiectasis leads to impaired mucociliary clearance, recurrent infections, and progressive lung function decline, representing a significant chronic respiratory condition for risk adjustment purposes.

Documentation Requirements

• ✓Provider documentation of bronchiectasis as an active, managed diagnosis
• ✓CT imaging confirmation of bronchial dilation (bronchiectasis is a radiographic diagnosis)
• ✓Etiology if known: post-infectious, cystic fibrosis, immune deficiency, ciliary dyskinesia
• ✓Current symptom status: chronic cough, sputum production, hemoptysis
• ✓Treatment plan: airway clearance techniques, prophylactic antibiotics, bronchodilators
• ✓Pulmonary function testing results if available

Commonly Confused Codes

• •J47.0: Bronchiectasis with acute lower respiratory infection: use when acute infection is present
• •J47.1: Bronchiectasis with acute exacerbation: use when symptoms are acutely worsening
• •J44.9: COPD, unspecified: different condition; bronchiectasis and COPD may coexist
• •J84.10: Pulmonary fibrosis, unspecified: a restrictive disease, different from bronchiectasis (obstructive)
• •Q33.4: Congenital bronchiectasis: use when bronchiectasis is confirmed as congenital in origin

Child Codes