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)
Excludes 2
Conditions not included here, but the patient may have both
- •certain conditions originating in the perinatal periodP04-P96
- •certain infectious and parasitic diseasesA00-B99
- •complications of pregnancy, childbirth and the puerperiumO9A)O00
- •congenital malformations, deformations and chromosomal abnormalitiesQ00-Q99
- •endocrine, nutritional and metabolic diseasesE00-E88
- •injury, poisoning and certain other consequences of external causesS00-T88
- •neoplasmsC00-D49
- •smoke inhalationT59.81
- •symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedR00-R94
- •asthmaJ45
- •malignant neoplasm of bronchus and lungC34
Use Additional Code
Additional codes that should follow this code
- code, where applicable, to identify:
- •exposure to environmental tobacco smokeZ77.22
- •exposure to tobacco smoke in the perinatal periodP96.81
- •history of tobacco dependenceZ87.891
- •occupational exposure to environmental tobacco smokeZ57.31
- •tobacco dependenceF17
- •tobacco useZ72.0
- code to identify associated respiratory conditions, such as:
- •acute respiratory failureJ96.0
Code Also
A second code may be required; sequencing depends on circumstances
- , if applicable, chronic conditions, such as:
- •emphysemaJ43
- •obliterative bronchiolitisJ44.81
- •pulmonary fibrosisJ84.10
Related Codes(6)
J68.0Bronchitis & pneumonitis d/t chemicals, gas, fumes & vapors
J68.1Pulmonary edema due to chemicals, gases, fumes and vapors
J68.2Upper resp inflam d/t chemicals, gas, fumes and vapors, NEC
J68.3Oth ac & subac resp cond d/t chemicals, gas, fumes & vapors
J68.8Oth resp cond due to chemicals, gases, fumes and vapors
J68.9Unsp resp cond due to chemicals, gases, fumes and vapors
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(64)
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
UMLS
Clinical Terms
- Chronic emphysema caused by vapour
- Toxic emphysema
- Toxic bronchiolitis obliterans
- Drug-induced bronchiolitis obliterans
- Interstitial pulmonary fibrosis due to inhalation of chemical
- Chronic pulmonary fibrosis caused by vapour
- Respiratory condition caused by vapor
- Chronic obliterative bronchiolitis caused by chemical fumes
- Chronic obliterative bronchiolitis caused by vapour
- Respiratory condition caused by vapour
- Subacute obliterative bronchiolitis
- Chronic emphysema caused by vapor
- Subacute obliterative bronchiolitis caused by vapor
- Chronic pulmonary fibrosis caused by chemical fumes
- Subacute obliterative bronchiolitis caused by chemical fumes
- Chronic obliterative bronchiolitis
- Chronic respiratory condition caused by vapour
- Chronic Respiratory Condition due to Chemicals, Gases, Fumes and Vapors
- Subacute obliterative bronchiolitis caused by vapour
- Chronic respiratory condition caused by vapor
- Chronic bronchiolitis
- Chronic obliterative bronchiolitis caused by vapor
- Chemical emphysema
- Chronic pulmonary fibrosis caused by vapor
- Chronic respiratory condition caused by fumes
- Chronic emphysema caused by chemical fumes
- Chemical bronchiolitis obliterans
- Interstitial pulmonary fibrosis caused by inhalation of chemical
- Chronic fibrosis of lung
- Interstitial pulmonary fibrosis due to inhalation of substance
- Chronic chemical respiratory disease
Frequently Asked Questions
What is the ICD-10 code for chronic resp cond due to chemicals, gases, fumes and vapors?
The ICD-10-CM code for chronic resp cond due to chemicals, gases, fumes and vapors is J68.4. The full clinical description is "Chronic respiratory conditions due to chemicals, gases, fumes and vapors". J68.4 is a billable/specific code that can be used on insurance claims and medical billing.
What does ICD-10 code J68.4 mean?
ICD-10-CM code J68.4 represents “Chronic respiratory conditions due to chemicals, gases, fumes and vapors”. It is classified under Chapter 10: Diseases of the Respiratory System and 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, also report: 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); 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.
How does J68.4 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like chronic resp cond due to chemicals, gases, fumes and vapors affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of J68.4?
J68.4 maps to the ICD-11 code: CA81.Y (Other specified respiratory conditions due to inhalation of chemicals, gases, fumes or vapours).
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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.