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J4BBillableSave New in FY2027

J4B - Pulmonary mycetoma

ICD-10-CM Chapter 10: Diseases of the respiratory system · J40-J4B Chronic lower respiratory diseases (J40-J4B) · Top-level category · FY2027

Applicable To

Inclusion terms listed under J4B in the ICD-10-CM tabular list.

  • Pulmonary fungal ball

Includes, Excludes and Coding Notes

Code AlsoFrom J4B

Report an additional code when both conditions apply.

  • , if known, associated infection, such as:
  • aspergillosis (B44.-)
  • chronic pulmonary coccidioidomycosis (B38.1)
  • pulmonary candidiasis (B37.1)
Excludes 1 — Not Coded HereFrom J40-J4B Chronic lower respiratory diseases (J40-J4B)

Mutually exclusive: these conditions are never reported together with this code.

  • bronchitis due to chemicals, gases, fumes and vapors (J68.0)
Excludes 2 — Not Included HereFrom J40-J4B Chronic lower respiratory diseases (J40-J4B)

Not part of this code; report both codes when the patient has both conditions.

  • cystic fibrosis (E84.-)
Excludes 2 — Not Included HereFrom Chapter J00-J99

Not part of this code; report both codes when the patient has both conditions.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional CodeFrom Chapter J00-J99

Add a secondary code to identify the associated condition or cause when it is documented.

  • 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)
NotesFrom Chapter J00-J99

Instructional notes from the ICD-10-CM tabular list.

  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).