J98.4Other disorders of lung

J98.4 is the ICD-10-CM diagnosis code for other disorders of lung. It belongs to category J98 (other respiratory disorders), block J96-J99 (other diseases of the respiratory system) and chapter 10 (diseases of the respiratory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within J98, choose J98.4 (Other disorders of lung) only when documentation doesn't support a more specific option: diseases of bronchus, not elsewhere classified (J98.0), pulmonary collapse (J98.1), interstitial emphysema (J98.2), Compensatory emphysema (J98.3), diseases of mediastinum, not elsewhere classified (J98.5), disorders of diaphragm (J98.6), other specified respiratory disorders (J98.8) and respiratory disorder, unspecified (J98.9).

Don't report J98.4 together with the conditions in its Excludes1 note: acute interstitial pneumonitis (J84.114) and pulmonary insufficiency following surgery (J95.1-J95.2).

Use an additional code 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.-) and 1 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 205 (Other Respiratory System Diagnoses with MCC, relative weight 1.8244) and DRG 206 (Other Respiratory System Diagnoses without MCC, relative weight 0.9257), in MDC 04 (Diseases and Disorders of the Respiratory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 518.89 (other diseases of lung, not elsewhere classified).