ICD-10-CM 2027
ICD-10 code for pulmonary insufficiency
From the official ICD-10-CM alphabetic index entry “Insufficiency, insufficient › pulmonary”. Page updated September 29, 2026.
About coding pulmonary insufficiency
The ICD-10-CM code for pulmonary insufficiency is J98.4 (Other disorders of lung). The official index lists 11 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on J98.4.
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.
More specific pulmonary insufficiency codes (official index)
- acute, following surgery (nonthoracic) J95.2 — Acute pulmonary insufficiency following nonthoracic surgery
- thoracic J95.1 — Acute pulmonary insufficiency following thoracic surgery
- chronic, following surgery J95.3 — Chronic pulmonary insufficiency following surgery
- following
- shock J98.4 — Other disorders of lung
- trauma J98.4 — Other disorders of lung
- newborn P28.89 — Other specified respiratory conditions of newborn
- valve I37.1 — Nonrheumatic pulmonary valve insufficiency
- with stenosis I37.2 — Nonrheumatic pulmonary valve stenosis with insufficiency
- congenital Q22.2 — Congenital pulmonary valve insufficiency
- rheumatic I09.89 — Other specified rheumatic heart diseases
- with aortic, mitral or tricuspid (valve) disease I08.8 — Other rheumatic multiple valve diseases
Don't confuse with (Excludes1 for J98.4)
Common questions about pulmonary insufficiency ICD-10 codes
What is the ICD-10 code for pulmonary insufficiency?
- J98.4 — Other disorders of lung. More specific codes apply when the documentation supports them: J95.2, J95.1, J95.3, J98.4 and others below.
What is the ICD-10 code for newborn pulmonary insufficiency?
- P28.89 — Other specified respiratory conditions of newborn.
What is the ICD-10 code for valve pulmonary insufficiency?
- I37.1 — Nonrheumatic pulmonary valve insufficiency.
Is J98.4 billable?
- Yes. J98.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can J98.4 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict J98.4 as a principal diagnosis.
Is J98.4 a CC or MCC?
- No. J98.4 is neither a CC nor an MCC under MS-DRG v44.0.