J4A.0

Restrictive allograft syndrome

Billable / specificHCC V28 276

J4A.0 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from J4A)

  • Note: 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).

Excludes1

Not coded here — never report together with this code.

  • bronchitis due to chemicals, gases, fumes and vapors (J68.0) (from J4A)

Excludes2

Not included here — may be reported together when both conditions exist.

  • certain conditions originating in the perinatal period (P04-P96) (from J4A)
  • certain infectious and parasitic diseases (A00-B99) (from J4A)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from J4A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) (from J4A)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from J4A)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from J4A)
  • neoplasms (C00-D49) (from J4A)
  • smoke inhalation (T59.81-) (from J4A)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from J4A)
  • cystic fibrosis (E84.-) (from J4A)

Code first

Sequence the underlying condition first.

  • , if applicable: (from J4A)
  • heart-lung transplant rejection (T86.31) (from J4A)
  • lung transplant rejection (T86.810) (from J4A)
  • other complications of heart-lung transplant (T86.39) (from J4A)
  • other complications of lung transplant (T86.818) (from J4A)

Use additional code

Add a code to identify the following, if applicable.

  • code, where applicable, to identify: (from J4A)
  • exposure to environmental tobacco smoke (Z77.22) (from J4A)
  • exposure to tobacco smoke in the perinatal period (P96.81) (from J4A)
  • history of tobacco dependence (Z87.891) (from J4A)
  • occupational exposure to environmental tobacco smoke (Z57.31) (from J4A)
  • tobacco dependence (F17.-) (from J4A)
  • tobacco use (Z72.0) (from J4A)

Code also

An additional code may be needed.

  • , if applicable, for mixed chronic lung allograft dysfunction, bronchiolitis obliterans syndrome (J44.81)
  • , if applicable, bronchiolitis obliterans syndrome (J44.81) (from J4A)

Also known as

  • Dysfunction, chronic, lung allograft, mixed
  • Syndrome, restrictive allograft

Parent code

  • J4AChronic lung allograft dysfunctionHeader

Related codes

  • J4A.8Other chronic lung allograft dysfunctionBillable
  • J4A.9Chronic lung allograft dysfunction, unspecifiedBillable

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