J43

Non-billable

Emphysema

J43 is the ICD-10-CM code for Emphysema. It is a non-billable category code — use a more specific child code such as J43.0 for billing.

Status
Header (non-billable)
Chapter
J00-J99
Subcodes
5
Edition
FY2026

J00-J99 Diseases of the respiratory system

What this means — in plain language

MedlinePlus · NIH

What is emphysema? Emphysema is a type of COPD (chronic obstructive pulmonary disease). COPD is a group of lung diseases that make it hard to breathe and get worse over time. The other main type of COPD is chronic bronchitis . Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person. Emphysema affects the air sacs in your lungs. Normally,…

Read more about Emphysema at MedlinePlus ↗

Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.

Excludes1 — not coded here

  • compensatory emphysema (J98.3)
  • interstitial emphysema (J98.2)
  • mediastinal emphysema (J98.2)
  • neonatal interstitial emphysema (P25.0)
  • surgical (subcutaneous) emphysema (T81.82)

Excludes2 — not included here

  • emphysema due to inhalation of chemicals, gases, fumes or vapors (J68.4)
  • emphysema with chronic (obstructive) bronchitis (J44.-)
  • emphysematous (obstructive) bronchitis (J44.-)
  • traumatic subcutaneous emphysema (T79.7)

Medications indicated for this condition

FDA labeling

Drugs whose FDA labeling lists this condition's category among its indications. Informational only — not a treatment recommendation or medical advice.

Conditions mapped to this code

MedlinePlus · NIH

Plain-language health-topic references grounded in MedlinePlus (NIH/NLM).

Frequently asked questions

What is ICD-10 code J43?
J43 is the ICD-10-CM code for "Emphysema". It falls under J00-J99 Diseases of the respiratory system.
Is J43 a billable code?
No — J43 is a non-billable header code. Use a more specific child code (such as J43.0) for billing.
What are the subcodes of J43?
J43 has 5 more specific child codes, including J43.0, J43.1, J43.2.
What is excluded from J43?
Excludes1 (not coded here): compensatory emphysema (J98.3); interstitial emphysema (J98.2); mediastinal emphysema (J98.2); neonatal interstitial emphysema (P25.0).

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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