J4A

Chronic lung allograft dysfunction

Header / non-billable

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · J4A
Code first

, if applicable: heart-lung transplant rejection (T86.31) lung transplant rejection (T86.810) other complications of heart-lung transplant (T86.39) other complications of lung transplant (T86.818)

Code also

, if applicable, bronchiolitis obliterans syndrome (J44.81)

Inherited from J40-J4AChronic lower respiratory diseases
Excludes 1

bronchitis due to chemicals, gases, fumes and vapors (J68.0)

Excludes 2

cystic fibrosis (E84.-)

Inherited from chapter 10Diseases of the respiratory system
Excludes 2

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

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)

Note

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 J4A

FY 2026 ›