J47.9
BillableBronchiectasis, uncomplicated
HCC Category Mapping
V28HCC 280 — Chronic Obstructive Pulmonary Disease
0.334V24HCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders
0.268ESRDHCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders
0.000RxHCCHCC 229 — COPD and Chronic Bronchitis
0.000What This Code Means
Bronchiectasis is a chronic lung condition where the airways become permanently damaged and widened, making it difficult to clear mucus and leading to repeated infections. This code is used when the condition is present without any acute complications.
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 presentJ47.1 — Bronchiectasis with acute exacerbation: use when symptoms are acutely worseningJ44.9 — COPD, unspecified: different condition; bronchiectasis and COPD may coexistJ84.10 — Pulmonary fibrosis, unspecified: a restrictive disease, different from bronchiectasis (obstructive)Q33.4 — Congenital bronchiectasis: use when bronchiectasis is confirmed as congenital in origin