ICD-10-CM Diagnosis Code J45.990 - Exercise induced bronchospasm (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code J45.990
Exercise induced bronchospasm
ICD-10-CM Code:
J45.990
ICD-10 Code for:
Exercise induced bronchospasm
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:
J45.990 is a billable diagnosis code used to specify a medical diagnosis of exercise induced bronchospasm. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.
This medical diagnosis code is frequently used in Pediatrics medical specialties to designate conditions such asthma.
- Code Information
- Approximate Synonyms
- Clinical Classification
- Clinical Information
- 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
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.
- Bronchospasm
- Constriction of airway
- Exercise induced bronchospasm
- Stenosis of bronchus
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: RSP009
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.
Bronchospasm
sudden contraction of the smooth muscles of the bronchial wall.
Bronchospasm, CTCAE|Bronchospasm|Bronchospasm
a disorder characterized by a sudden contraction of the smooth muscles of the bronchial wall.
Exercise-Induced Bronchospasm|Exercise induced bronchospasm
sudden contraction of the smooth muscles of the bronchial wall that occurs during or following exercise.
Grade 1 Bronchospasm, CTCAE|Grade 1 Bronchospasm
mild symptoms; intervention not indicated
Grade 2 Bronchospasm, CTCAE|Grade 2 Bronchospasm
symptomatic; medical intervention indicated; limiting instrumental adl
Grade 3 Bronchospasm, CTCAE|Grade 3 Bronchospasm
limiting self care adl; supplemental oxygen indicated
Grade 4 Bronchospasm, CTCAE|Grade 4 Bronchospasm
life-threatening respiratory or hemodynamic compromise; intubation or urgent intervention indicated
Grade 5 Bronchospasm, CTCAE|Grade 5 Bronchospasm
death
Bronchospasm, CTCAE|Bronchospasm|Bronchospasm
a disorder characterized by a sudden contraction of the smooth muscles of the bronchial wall or narrowing of the airway. may be manifested as wheezing.
Grade 2 Bronchospasm, CTCAE|Grade 2 Bronchospasm
symptomatic; medical intervention indicated; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)
Grade 3 Bronchospasm, CTCAE|Grade 3 Bronchospasm
supplemental oxygen indicated; limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)
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).
- - Bronchospasm (acute) - J98.01
- - exercise induced - J45.990
References found for this diagnosis code in the External Cause of Injuries Index:
- Bronchospasm(acute)
- exercise induced
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: 493.81
This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.
Asthma
What is asthma?
Asthma is a chronic (long-term) lung disease. It affects your airways, the tubes that carry air in and out of your lungs. When you have asthma, your airways can become inflamed and narrowed. This can cause wheezing, coughing, and tightness in your chest. When these symptoms get worse than usual, it is called an asthma attack or flare-up.
What causes asthma?
The exact cause of asthma is unknown. Genetics and your environment likely play a role in who gets asthma.
An asthma attack can happen when you are exposed to an asthma trigger. An asthma trigger is something that can set off or worsen your asthma symptoms. Different triggers can cause different types of asthma:
- Allergic asthma is caused by allergens. Allergens are substances that cause an allergic reaction. They can include
- Dust mites
- Mold
- Pets
- Pollen from grass, trees, and weeds
- Waste from pests such as cockroaches and mice
- Nonallergic asthma is caused by triggers that are not allergens, such as
- Breathing in cold air
- Certain medicines
- Household chemicals
- Infections such as colds and the flu
- Outdoor air pollution
- Tobacco smoke
- Occupational asthma is caused by breathing in chemicals or industrial dusts at work
- Exercise-induced asthma happens during physical exercise, especially when the air is dry
Asthma triggers may be different for each person and can change over time.
Who is at risk for asthma?
Asthma affects people of all ages, but it often starts during childhood. Certain factors can raise your risk of having asthma:
- Being exposed to secondhand smoke when your mother is pregnant with you or when you are a small child
- Being exposed to certain substances at work, such as chemical irritants or industrial dusts
- Genetics and family history. You are more likely to have asthma if one of your parents has it, especially if it's your mother.
- Race or ethnicity. Black and African Americans and Puerto Ricans are at higher risk of asthma than people of other races or ethnicities.
- Having other diseases or conditions such as obesity and allergies
- Often having viral respiratory infections as a young child
- Sex. In children, asthma is more common in boys. In teens and adults, it is more common in women.
What are the symptoms of asthma?
The symptoms of asthma include:
- Chest tightness
- Coughing, especially at night or early morning
- Shortness of breath
- Wheezing, which causes a whistling sound when you breathe out
These symptoms can range from mild to severe. You may have them every day or only once in a while.
When you are having an asthma attack, your symptoms get much worse. The attacks may come on gradually or suddenly. Sometimes they can be life-threatening. They are more common in people who have severe asthma. If you are having asthma attacks, you may need a change in your treatment.
How is asthma diagnosed?
Your health care provider may use many tools to diagnose asthma:
- Physical exam
- Medical history
- Lung function tests, including spirometry, to test how well your lungs work
- Tests to measure how your airways react to specific exposures. During this test, you inhale different concentrations of allergens or medicines that may tighten the muscles in your airways. Spirometry is done before and after the test.
- Peak expiratory flow (PEF) tests to measure how fast you can blow air out using maximum effort
- Fractional exhaled nitric oxide (FeNO) tests to measure levels of nitric oxide in your breath when you breathe out. High levels of nitric oxide may mean that your lungs are inflamed.
- Allergy skin or blood tests, if you have a history of allergies. These tests check which allergens cause a reaction from your immune system.
What are the treatments for asthma?
If you have asthma, you will work with your health care provider to create a treatment plan. The plan will include ways to manage your asthma symptoms and prevent asthma attacks. It will include:
- Strategies to avoid triggers. For example, if tobacco smoke is a trigger for you, you should not smoke or allow other people to smoke in your home or car.
- Short-term relief medicines, also called quick-relief medicines. They help prevent symptoms or relieve symptoms during an asthma attack. They include an inhaler to carry with you all the time. It may also include other types of medicines which work quickly to help open your airways.
- Control medicines. You take them every day to help prevent symptoms. They work by reducing airway inflammation and preventing narrowing of the airways.
If you have a severe attack and the short-term relief medicines do not work, you will need emergency care.
Your provider may adjust your treatment until asthma symptoms are controlled.
Sometimes asthma is severe and cannot be controlled with other treatments. If you are an adult with uncontrolled asthma, in some cases your provider might suggest bronchial thermoplasty. This is a procedure that uses heat to shrink the smooth muscle in the lungs. Shrinking the muscle reduces your airway's ability to tighten and allows you to breathe more easily. The procedure has some risks, so it's important to discuss them with your provider.
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.
