J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.
Applicable to
Chemical bronchitis (acute)
Applies from J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors
Code first
(T51-T65) to identify cause
Use additional code
code to identify associated respiratory conditions, such as:
acute respiratory failure (J96.0-)
Risk adjustment (HCC)
CMS-HCC V28: HCC 280 — Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders
CMS-HCC V22: HCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders
ESRD V24: HCC 112
MS-DRG index
Defines the logic of DRG(s) 205-206 in MDC 04.
Approximate ICD-9-CM (GEMs)
506.0 Bronchitis and pneumonitis due to fumes and vapors
Code annotations containing back-references to J68.0
Back-references to J68.0
Type 1 Excludes: J18 Pneumonia, unspecified organism ("pneumonitis due to fumes and vapors (J68.0)")
Type 2 Excludes: J20 Acute bronchitis ("bronchitis due to chemicals, fumes and vapors (J68.0)")
Type 1 Excludes: J40 Bronchitis, not specified as acute or chronic ("bronchitis due to chemicals, gases, fumes and vapors (J68.0)")
Type 1 Excludes: J67 Hypersensitivity pneumonitis due to organic dust ("pneumonitis due to inhalation of chemicals, gases, fumes or vapors (J68.0)")
Back-references to J68
Type 2 Excludes: J18 Pneumonia, unspecified organism ("pneumonitis due to external agents (J67-J70)")
Type 2 Excludes: J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation ("lung diseases due to external agents (J60-J70)")
Type 2 Excludes: J44.9 Chronic obstructive pulmonary disease, unspecified ("lung diseases due to external agents (J60-J70)")
Type 2 Excludes: J45.909 Unspecified asthma, uncomplicated ("lung diseases due to external agents (J60-J70)")
Type 1 Excludes: J81 Pulmonary edema ("pulmonary edema due to external agents (J60-J70)")
Type 2 Excludes: J84 Other interstitial pulmonary diseases ("lung diseases due to external agents (J60-J70)")
Code First: J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere ("lung diseases due to external agents (J60-J70)")
Diagnosis Index entries for J68.0
Bronchiolitis (acute) (infective) (subacute) › chemical (chronic) › acute
Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) › acute or subacute (with bronchospasm or obstruction) › chemical (due to gases, fumes or vapors)
Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) › acute or subacute (with bronchospasm or obstruction) › due to › fumes or vapors
Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) › chemical (acute) (subacute)
Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) › due to gases, fumes or vapors (chemical)
Disease, diseased › silo-filler's › bronchitis
Disease, diseased › silo-filler's › pneumonitis
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) › inhalation › due to fumes or vapors (chemical)
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › in (due to) › fumes and vapors (chemical) (inhalation)