J68.4
BillableChronic resp cond due to chemicals, gases, fumes and vapors
Chronic respiratory conditions due to chemicals, gases, fumes and vapors
Coding Notes
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
- chronic pulmonary edema due to chemicals, gases, fumes and vapors (J68.1)
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)
- asthma (J45.-)
- malignant neoplasm of bronchus and lung (C34.-)
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 associated respiratory conditions, such as:
- acute respiratory failure (J96.0-)
Also Known As / Clinical Terms
SNOMED CT
- Subacute obliterative bronchiolitis22482002
- Chronic fibrosis of lung36599006
- Chronic obliterative bronchiolitis47938003
- Chronic emphysema caused by chemical fumes196026004
- Chemical bronchiolitis obliterans196027008
- Toxic bronchiolitis obliterans196027008
- Chronic pulmonary fibrosis caused by chemical fumes196028003
- Drug-induced bronchiolitis obliterans233673002
- Chemical emphysema233675009
- Toxic emphysema233675009
- Chronic chemical respiratory disease266404004
- Chronic bronchiolitis737180005
- Chronic emphysema caused by vapor836477007
- Chronic emphysema caused by vapour836477007
- Subacute obliterative bronchiolitis caused by chemical fumes836478002
- Subacute obliterative bronchiolitis caused by vapor836479005
- Subacute obliterative bronchiolitis caused by vapour836479005
- Chronic obliterative bronchiolitis caused by chemical fumes840350008
- Chronic obliterative bronchiolitis caused by vapor840351007
- Chronic obliterative bronchiolitis caused by vapour840351007
- Chronic respiratory condition caused by fumes846634000
- Chronic respiratory condition caused by vapor846635004
- Chronic respiratory condition caused by vapour846635004
- Respiratory condition caused by vapor846641006
- Respiratory condition caused by vapour846641006
- Interstitial pulmonary fibrosis caused by inhalation of chemical1017196003
- Interstitial pulmonary fibrosis due to inhalation of chemical1017196003
- Interstitial pulmonary fibrosis due to inhalation of substance1017196003
- Chronic pulmonary fibrosis caused by vapor1344640009
- Chronic pulmonary fibrosis caused by vapour1344640009
Frequently Asked Questions
What is ICD-10 code J68.4?
ICD-10-CM code J68.4 represents "Chronic respiratory conditions due to chemicals, gases, fumes and vapors". It is a billable/specific code that can be used on a claim.
Is J68.4 a billable code?
Yes, J68.4 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.
What chapter is J68.4 in?
J68.4 is in Chapter 10: Diseases of the Respiratory System (codes J00-J99).
What codes cannot be used with J68.4?
J68.4 has Excludes1 notes indicating codes that cannot be used together with it, including: chronic pulmonary edema due to chemicals, gases, fumes and vapors (J68.1).
Are additional codes required with J68.4?
Yes, when using J68.4 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 associated respiratory conditions, such as:; acute respiratory failure (J96.0-).
What SNOMED CT codes does J68.4 map to?
J68.4 maps to 20 SNOMED CT concepts: 196027008, 233675009, 737180005, 266404004, 196026004, and 15 more. SNOMED CT is a clinical terminology used in electronic health records.
What are the UMLS CUIs for J68.4?
J68.4 is linked to 1 UMLS Concept Unique Identifier: C0494672. 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.