ICD-10-CM Diagnosis Code J45.991 - Cough variant asthma (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code J45.991
Cough variant asthma
ICD-10-CM Code:
J45.991
ICD-10 Code for:
Cough variant asthma
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:
J45.991 is a billable diagnosis code used to specify a medical diagnosis of cough variant asthma. 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.
- Cough variant asthma
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.
Airway Remodeling
the structural changes in the number, mass, size and/or composition of the airway tissues.
Asthma
a form of bronchial disorder with three distinct components: airway hyper-responsiveness (respiratory hypersensitivity), airway inflammation, and intermittent airway obstruction. it is characterized by spasmodic contraction of airway smooth muscle, wheezing, and dyspnea (dyspnea, paroxysmal).
Asthma, Aspirin-Induced
asthmatic adverse reaction (e.g., bronchoconstriction) to conventional nsaids including aspirin use.
Asthma, Exercise-Induced
asthma attacks following a period of exercise. usually the induced attack is short-lived and regresses spontaneously. the magnitude of postexertional airway obstruction is strongly influenced by the environment in which exercise is performed (i.e. inhalation of cold air during physical exertion markedly augments the severity of the airway obstruction; conversely, warm humid air blunts or abolishes it).
Asthma, Occupational
asthma attacks caused, triggered, or exacerbated by occupational exposure.
Asthma-Chronic Obstructive Pulmonary Disease Overlap Syndrome
syndrome with clinical features of both asthma and copd.
Conyza
a plant genus of the family asteraceae. members contain alkenynes, daucosterol, friedelinol, conyzasaponins and other triterpenes.
Cough-Variant Asthma
asthma which is characterized by chronic cough that is nonproductive without other asthmatic symptoms, e.g., wheezing, and paroxysmal dyspnea. cough-variant asthma is accompanied by airway hypersensitivity and may progress to classical asthma without treatment.
Dyspnea, Paroxysmal
a disorder characterized by sudden attacks of respiratory distress in at rest patients with heart failure and pulmonary edema. it usually occurs at night after several hours of sleep in a reclining position. patients awaken with a feeling of suffocation, coughing, a cold sweat, and tachycardia. when there is significant wheezing, it is called cardiac asthma.
Status Asthmaticus
a sudden intense and continuous aggravation of a state of asthma, marked by dyspnea to the point of exhaustion and collapse and not responding to the usual therapeutic efforts.
Tylophora
a plant genus of the family asclepiadaceae. members contain phenanthro-indolizidine alkaloids.
Occupational Exposure
the exposure to potentially harmful chemical, physical, or biological agents that occurs as a result of one's occupation.
References found for this diagnosis code in the External Cause of Injuries Index:
- Asthma, asthmatic(bronchial) (catarrh) (spasmodic)
- cough variant
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: 493.82
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.
