J45.5
Non-billableSevere persistent asthma
Severe persistent asthma
This is a header/category code. For billing purposes, use a more specific child code from the list below.
Coding Notes
Includes
Conditions included under this code
- allergic (predominantly) asthma
- allergic bronchitis NOS
- allergic rhinitis with asthma
- atopic asthma
- extrinsic allergic asthma
- hay fever with asthma
- idiosyncratic asthma
- intrinsic nonallergic asthma
- nonallergic asthma
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
Excludes 2
Conditions not included here, but the patient may have both
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- smoke inhalation (T59.81-)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- cystic fibrosis (E84.-)
- asthma with chronic obstructive pulmonary disease (J44.89)
- chronic asthmatic (obstructive) bronchitis (J44.89)
- chronic obstructive asthma (J44.89)
- other specified chronic obstructive pulmonary disease (J44.89)
Use Additional Code
Additional codes that should follow this code
- code, where applicable, 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 to identify:
- eosinophilic asthma (J82.83)
Child Codes (3)
Also Known As / Clinical Terms
Frequently Asked Questions
What is ICD-10 code J45.5?
ICD-10-CM code J45.5 represents "Severe persistent asthma". It is a non-billable header code — use a more specific child code for billing purposes.
Is J45.5 a billable code?
No, J45.5 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 3 child codes under J45.5.
What chapter is J45.5 in?
J45.5 is in Chapter 10: Diseases of the Respiratory System (codes J00-J99).
What codes cannot be used with J45.5?
J45.5 has Excludes1 notes indicating codes that cannot be used together with it, including: bronchitis due to chemicals, gases, fumes and vapors (J68.0); detergent asthma (J69.8); miner's asthma (J60); and 2 more.
What are the subcategories under J45.5?
J45.5 has 3 child codes, including: J45.50 (Severe persistent asthma, uncomplicated), J45.51 (Severe persistent asthma with (acute) exacerbation), J45.52 (Severe persistent asthma with status asthmaticus).
Are additional codes required with J45.5?
Yes, when using J45.5 you should also code: code, where applicable, 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 to identify:; eosinophilic asthma (J82.83).
What are the UMLS CUIs for J45.5?
J45.5 is linked to 1 UMLS Concept Unique Identifier: C1960048. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.