ICD-10-CM Diagnosis Code J44.1 - Chronic obstructive pulmonary disease with (acute) exacerbation (original) (raw)
ICD List 2025-2026 Edition
- Home
- ICD-10-CM Codes
- J00–J99
- J40-J4A
- J44
- 2026 ICD-10-CM Code J44.1
Chronic obstructive pulmonary disease with (acute) exacerbation
ICD-10-CM Code:
J44.1
ICD-10 Code for:
Chronic obstructive pulmonary disease w (acute) exacerbation
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:
J44.1 is a billable diagnosis code used to specify a medical diagnosis of chronic obstructive pulmonary disease with (acute) exacerbation. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.
- Code Information
- Approximate Synonyms
- Clinical Classification
- Tabular List of Diseases and Injuries
- Index to Diseases and Injuries References
- Diagnostic Related Groups Mapping
- Convert to ICD-9 Code
- Patient Education
- Other Codes Used Similar Conditions
- Code History
- Diseases of the respiratory system
J00–J99
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Acute exacerbation of chronic asthmatic bronchitis
- Acute exacerbation of chronic bronchitis
- Acute exacerbation of chronic obstructive bronchitis
- Acute exacerbation of chronic obstructive pulmonary disease
- Acute exacerbation of chronic obstructive pulmonary disease with asthma
- Asthmatic bronchitis
- Chronic asthmatic bronchitis
- Chronic obstructive asthma co-occurrent with acute exacerbation of asthma
- Emphysematous bronchitis
- Obstruction of bronchus
- Pulmonary hypertension due to lung disease and/or hypoxia
- Pulmonary hypertension due to pulmonary disease with mixed restrictive and obstructive pattern
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
CCSR Code: RSP008
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Asthma, asthmatic (bronchial) (catarrh) (spasmodic) - J45.909
- - with
* - chronic obstructive bronchitis - J44.89
* - with
* - exacerbation (acute) - J44.1
* - chronic obstructive pulmonary disease - J44.89
* - with
* - exacerbation (acute) - J44.1 - - chronic obstructive - J44.89
* - with
* - exacerbation (acute) - J44.1
- - with
- - Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) - J40
- - Disease, diseased - See Also: Syndrome;
- - lung - J98.4
* - obstructive (chronic) - J44.9
* - with
* - acute
* - exacerbation NEC - J44.1
* - bronchitis - J44.89
* - with
* - exacerbation (acute) - J44.1
* - decompensated - J44.1
* - with
* - exacerbation (acute) - J44.1 - - pulmonary - See Also: Disease, lung;
* - chronic obstructive - J44.9
* - with
* - exacerbation (acute) - J44.1
* - decompensated - J44.1
* - with
* - exacerbation (acute) - J44.1
- - lung - J98.4
References found for this diagnosis code in the External Cause of Injuries Index:
- Asthma, asthmatic(bronchial) (catarrh) (spasmodic)
- with
- chronic obstructive bronchitis
- with
- exacerbation (acute)
- with
- chronic obstructive bronchitis
- with
- Asthma, asthmatic(bronchial) (catarrh) (spasmodic)
- with
- chronic obstructive pulmonary disease
- with
- exacerbation (acute)
- with
- chronic obstructive pulmonary disease
- with
- Asthma, asthmatic(bronchial) (catarrh) (spasmodic)
- chronic obstructive
- with
- exacerbation (acute)
- with
- chronic obstructive
- Bronchitis(diffuse) (fibrinous) (hypostatic) (infective) (membranous)
- asthmatic
- chronic
- with
- exacerbation (acute)
- with
- chronic
- asthmatic
- Disease, diseased
- lung
- obstructive (chronic)
- with
- acute
- exacerbation NEC
- acute
- with
- obstructive (chronic)
- lung
- Disease, diseased
- lung
- obstructive (chronic)
- with
- bronchitis
- with
- exacerbation (acute)
- with
- bronchitis
- with
- obstructive (chronic)
- lung
- Disease, diseased
- lung
- obstructive (chronic)
- decompensated
- obstructive (chronic)
- lung
- Disease, diseased
- lung
- obstructive (chronic)
- decompensated
- with
- exacerbation (acute)
- with
- decompensated
- obstructive (chronic)
- lung
- Disease, diseased
- pulmonary
- chronic obstructive
- with
- exacerbation (acute)
- with
- chronic obstructive
- pulmonary
- Disease, diseased
- pulmonary
- chronic obstructive
- decompensated
- chronic obstructive
- pulmonary
- Disease, diseased
- pulmonary
- chronic obstructive
- decompensated
- with
- exacerbation (acute)
- with
- decompensated
- chronic obstructive
- pulmonary
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
ICD-9-CM: 491.21
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
ICD-9-CM: 493.22
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
COPD
What is COPD (chronic obstructive pulmonary disease)?
COPD (chronic obstructive pulmonary disease) is a group of lung diseases that make it hard to breathe and get worse over time.
Normally, the airways and air sacs in your lungs are elastic or stretchy. When you breathe in, the airways bring air to the air sacs. The air sacs fill up with air, like a small balloon. When you breathe out, the air sacs deflate, and the air goes out. If you have COPD, less air flows in and out of your airways because of one or more problems:
- The airways and air sacs in your lungs become less elastic
- The walls between many of the air sacs are destroyed
- The walls of the airways become thick and inflamed
- The airways make more mucus than usual and can become clogged
What are the types of COPD (chronic obstructive pulmonary disease)?
COPD includes two main types:
- Emphysema affects the air sacs in your lungs, as well as the walls between them. They become damaged and are less elastic.
- Chronic bronchitis, in which the lining of your airways is constantly irritated and inflamed. This causes the lining to swell and make mucus.
Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person.
What causes COPD (chronic obstructive pulmonary disease)?
The cause of COPD is usually long-term exposure to irritants that damage your lungs and airways. In the United States, cigarette smoke is the main cause. Pipe, cigar, and other types of tobacco smoke can also cause COPD, especially if you inhale them.
Exposure to other inhaled irritants can contribute to COPD. These include secondhand smoke, air pollution, and chemical fumes or dusts from the environment or workplace.
Rarely, a genetic condition called alpha-1 antitrypsin deficiency can play a role in causing COPD.
Who is at risk for COPD (chronic obstructive pulmonary disease)?
The risk factors for COPD include:
- Smoking. This is the main risk factor. Up to 75% of people who have COPD smoke or used to smoke.
- Long-term exposure to other lung irritants, such as secondhand smoke, air pollution, and chemical fumes and dusts from the environment or workplace
- Age. Most people who have COPD are at least 40 years old when their symptoms begin.
- Genetics. This includes alpha-1 antitrypsin deficiency, which is a genetic condition. Also, smokers who get COPD are more likely to get it if they have a family history of COPD.
- Asthma. People who have asthma have more risk of developing COPD than people who don't have asthma. But most people with asthma will not get COPD.
What are the symptoms of COPD (chronic obstructive pulmonary disease)?
At first, you may have no symptoms or only mild symptoms. As the disease gets worse, your symptoms usually become more severe. They can include:
- Frequent coughing or a cough that produces a lot of mucus
- Wheezing
- A whistling or squeaky sound when you breathe
- Shortness of breath, especially with physical activity
- Tightness in your chest
Some people with COPD get frequent respiratory infections such as colds and the flu. In severe cases, COPD can cause weight loss, weakness in your lower muscles, and swelling in your ankles, feet, or legs.
How is COPD (chronic obstructive pulmonary disease) diagnosed?
Your health care provider may use many tools to make a diagnosis:
- A medical history, which includes asking about your symptoms
- A family history
- Various tests, such as lung function tests, a chest x-ray or CT scan, and blood tests
Your doctor will diagnose COPD based on your signs and symptoms, your medical and family histories, and test results.
What are the treatments for COPD (chronic obstructive pulmonary disease)?
There is no cure for COPD. However, treatments can help with symptoms, slow the progress of the disease, and improve your ability to stay active. There are also treatments to prevent or treat complications of the disease. Treatments include:
- Lifestyle changes, such as
- Quitting smoking if you are a smoker. This is the most important step you can take to treat COPD.
- Avoiding secondhand smoke and places where you might breathe in other lung irritants
- Ask your health care provider for an eating plan that will meet your nutritional needs. Also ask about how much physical activity you can do. Physical activity can strengthen the muscles that help you breathe and improve your overall wellness.
- Medicines, such as
- Bronchodilators, which relax the muscles around your airways. This helps open your airways and makes breathing easier. Most bronchodilators are taken through an inhaler. In more severe cases, the inhaler may also contain steroids to reduce inflammation.
- Vaccines for the flu and pneumococcal pneumonia, since people with COPD are at higher risk for serious problems from these diseases
- Antibiotics if you get a bacterial lung infection
- Oxygen therapy, if you have severe COPD and low levels of oxygen in your blood. Oxygen therapy can help you breathe better. You may need extra oxygen all the time or only at certain times.
- Pulmonary rehabilitation, which is a program that helps improve the well-being of people who have chronic breathing problems. It may include
- An exercise program
- Disease management training
- Nutritional counseling
- Psychological counseling
- Surgery, usually as a last resort for people who have severe symptoms that have not gotten better with medicines:
- For COPD that is mainly related to emphysema, there are surgeries that:
* Remove damaged lung tissue
* Remove large air spaces (bullae) that can form when air sacs are destroyed. The bullae can interfere with breathing. - For severe COPD, some people may need lung transplant
- For COPD that is mainly related to emphysema, there are surgeries that:
If you have COPD, it's important to know when and where to get help for your symptoms. You should get emergency care if you have severe symptoms, such as trouble catching your breath or talking. Call your health care provider if your symptoms are getting worse or if you have signs of an infection, such as a fever.
Can COPD (chronic obstructive pulmonary disease) be prevented?
Since smoking causes most cases of COPD, the best way to prevent it is to not smoke. It's also important to try to avoid lung irritants such as secondhand smoke, air pollution, chemical fumes, and dusts.
NIH: National Heart, Lung, and Blood Institute
FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
