octoHealth

J43.0

Billable

Unilateral pulmonary emphysema [MacLeod's syndrome]

Chapter 10: Diseases of the respiratory system

Additional Information

From parent codes: J00-J99 (Chapter 10)

Excludes 2 — Not Included HereFrom J00-J99

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • 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 CodeFrom J00-J99

The 'use additional code' note instructs that a secondary code should be added to provide more detail.

  • 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)
NotesFrom J00-J99

Additional notes from parent codes that apply to this code.

  • 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).

Inpatient DRG Payments

DRG 19049,661 discharges

Chronic Obstructive Pulmonary Disease With Mcc

Avg. Medicare Payment

$8,467

Total Payment$10,575
Patient Responsibility$2,109
Hospital Charge$50,958
DRG 19111,485 discharges

Chronic Obstructive Pulmonary Disease With Cc

Avg. Medicare Payment

$6,374

Total Payment$8,280
Patient Responsibility$1,906
Hospital Charge$39,874
DRG 192322 discharges

Chronic Obstructive Pulmonary Disease Without Cc/mcc

Avg. Medicare Payment

$4,571

Total Payment$6,393
Patient Responsibility$1,822
Hospital Charge$24,967