Tabular list notes for J45.30
The tabular list has no notes on J45.30 itself; the notes below apply from its parent headings.
Inherited from J45 (Asthma)
- Includes
- allergic (predominantly) asthma
- allergic bronchitis NOS
- allergic rhinitis with asthma
- atopic asthma
- extrinsic allergic asthma
- hay fever with asthma
- idiosyncratic asthma
- intrinsic nonallergic asthma
- nonallergic asthma
- Excludes1 (never coded together)
- detergent asthma (J69.8)
- miner's asthma (J60)
- wheezing NOS (R06.2)
- wood asthma (J67.8)
- Excludes2 (not part of this condition, may be coded together)
- asthma with chronic obstructive pulmonary disease (J44.89)
- chronic asthmatic (obstructive) bronchitis (J44.89)
- chronic obstructive asthma (J44.89)
- other specified chronic obstructive pulmonary disease (J44.89)
- Use additional code
- code to identify:
- eosinophilic asthma (J82.83)
- 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)
MS-DRG grouping when J45.30 is the principal diagnosis
The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for J45.30 shows the full grouping logic.
CC/MCC status and inpatient edits
J45.30 is neither a CC nor an MCC under MS-DRG v44, so as a secondary diagnosis it does not raise the MS-DRG severity level. Check J45.30 against a principal diagnosis.
- Present on admission: a POA indicator is required on inpatient claims.
CMS-HCC V28 risk adjustment
J45.30 does not map to a payment HCC in the PY2027 CMS-HCC V28 model, so on its own it does not change a Medicare Advantage risk score.
LCD billing and coding articles that list J45.30
31 current Medicare billing and coding articles list J45.30 among the diagnoses that support medical necessity for the services they cover.
- Nebulizers - Policy Article A52466
- Billing and Coding: Home Health Occupational Therapy A53057
- Billing and Coding: Outpatient Occupational Therapy A53064
- Billing and Coding: Outpatient Physical Therapy A53065
- Billing and Coding: Allergen Immunotherapy A56538
- Billing and Coding: Allergy Testing A56558
- Billing and Coding: Respiratory Therapy (Respiratory Care) A56717
- Billing and Coding: Respiratory Therapy and Oximetry Services A56730
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Frequently asked questions
What does ICD-10-CM J45.30 mean?
J45.30 means mild persistent asthma, uncomplicated. It is one of 18 billable codes under J45, asthma.
Which MS-DRG does J45.30 group to?
As the principal diagnosis, J45.30 groups to MS-DRG 202 Bronchitis and Asthma with CC/MCC, MS-DRG 203 Bronchitis and Asthma without CC/MCC (MDC 04 MDC 04: Diseases and Disorders of the Respiratory System) under MS-DRG v44, before procedures and secondary diagnoses are applied.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- ICD-10-CM FY2027 tabular order file (category titles)Version FY2027 · effective 2026-10-01 · file icd10cm_order_2027.txtSHA-256 38981fb2c1226e2b…
- ICD-10-CM FY2027 tabular list (chapter titles and ranges)Version FY2027 · effective 2026-10-01 · file 2027-code-tables-tabular-index.zipSHA-256 37baa476323714be…
- ICD-10-CM FY2027 code descriptions addenda (codes added, deleted and revised)Version FY2027 · effective 2026-10-01 · file icd10cm_codes_addenda_2027.txtSHA-256 cfba025073235af4…
- ICD-10 MS-DRG Definitions Manual v44 (text)Version v44 · effective 2026-10-01 · file fy2027-fr-icd10-ms-drg-definitions-manual-files-v44.zipSHA-256 ae4f6c11727fe91f…
- IPPS FY2027 Tables 6A-6K: new, invalid and revised ICD-10-CM/PCS codes, CC/MCC list changes and CC exclusionsVersion FY2027 (final rule; not reissued by CN3) · effective 2026-10-01 · file fy2027-ipps-fr-tables-6a-6k.zipSHA-256 ca0af87b0869a405…
- ICD-10-CM FY2027 POA-exempt codes (full list, additions, deletions and revisions)Version FY2027 · effective 2026-10-01 · file 2027-poa-exempt-codes.zipSHA-256 03f55091045024d0…
- ICD-10-CM to CMS-HCC V28 mappings, payment year 2027 initialVersion PY2027 initial ICD-10-CM mappings (dates of service 2026) · effective 2027-01-01 · file 2027 Initial ICD-10-CM Mappings.csvSHA-256 9c260b06d0dd2806…
- Medicare Coverage Database, current Billing and Coding Articles exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file article.csvSHA-256 5e95c4a8ac3664be…
Disclaimer
The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.
Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.