J45.51
Severe persistent asthma with (acute) exacerbation
HCC risk adjustment mapping
CMS-HCC V28
Severe Persistent Asthma
RxHCC V08
Severe Persistent Asthma
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
allergic (predominantly) asthma allergic bronchitis NOS allergic rhinitis with asthma atopic asthma extrinsic allergic asthma hay fever with asthma idiosyncratic asthma intrinsic nonallergic asthma nonallergic asthma
asthma with chronic obstructive pulmonary disease (J44.89) chronic asthmatic (obstructive) bronchitis (J44.89) chronic obstructive asthma (J44.89) other specified chronic obstructive pulmonary disease (J44.89)
code to identify: eosinophilic asthma (J82.83) 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)
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)
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)
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).
Official Guidelines for J45.51
FY 2026 ›Sections that reference J45.51
Sections whose FY 2026 text names J45.51, its J45 category, or a range containing it — the chapter guidance above is the authoritative source.
Find J45.51 in the alphabetic index
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