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    OpenPayerBilling CodesOther acute lower respiratory infectionsICD-10-CM j21-acute-bronchiolitis
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    ICD-10-CM Code For Acute Bronchiolitis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group J21 includes acute bronchiolitis diagnoses such as bronchiolitis due to respiratory syncytial virus and other specified or unspecified organisms, covering inflammatory lower airway infections primarily in infants and young children. These ICD-10-CM diagnosis codes are used to document episodes of acute small-airway infection, capturing severity, causative organism when known, and any associated respiratory compromise. Accurate coding within the ICD-10-CM J21 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM J21: Acute Bronchiolitis Overview

    The ICD-10-CM J21 group represents acute bronchiolitis diagnoses, an inflammatory infection of the small airways most commonly affecting infants and young children and often caused by viral pathogens. These codes target acute lower respiratory tract infection of the bronchioles and related clinical presentations. Accurate coding matters for reimbursement because it documents the specific acute respiratory condition treated and supports appropriate claim adjudication and medical necessity.

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    When to Use

    Use a code from this group when a patient presents with an acute bronchiolitis diagnosis established by clinical assessment, with or without identification of a causative organism. Assign the specific J21 code that reflects the documented organism or use the unspecified code when no pathogen is identified.

    ICD-10-CM Codes

    4 rows

    ICD-10-CM CodeDescription
    J21.0Acute bronchiolitis due to respiratory syncytial virus
    J21.1Acute bronchiolitis due to human metapneumovirus
    J21.8Acute bronchiolitis due to other specified organisms
    J21.9Acute bronchiolitis, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    202Bronchitis and Asthma with CC/MCC
    203Bronchitis and Asthma without CC/MCC

    Typical Clinical Scenarios

    • An infant aged 6 months presents to the emergency department with 3 days of progressive cough, wheezing, tachypnea, intercostal retractions, low-grade fever, and poor oral intake after a recent upper respiratory infection. On exam there are diffuse expiratory wheezes and crackles, oxygen saturation of 90% on room air, and chest radiograph without focal lobar consolidation; viral testing identifies respiratory syncytial virus. A diagnosis from this group is assigned for an acute viral lower airway infection causing bronchiolitis requiring supportive care and possible hospitalization. Typical codes: J21.0, J21.9
    • A previously healthy toddler is seen in urgent care for a sudden onset of high-pitched inspiratory and expiratory wheeze, increased work of breathing, and rhinorrhea during RSV season; symptoms are milder and the child is well hydrated with normal oxygen saturation. The clinician documents an acute bronchiolitis managed as an outpatient with home supportive measures and close follow-up. Typical codes: J21.0, J21.9
    • An elderly patient with chronic obstructive pulmonary disease develops an acute lower respiratory infection with increased cough, purulent sputum and new diffuse wheezing and crackles, but no focal lobar consolidation; the treating team documents acute bronchiolitis as a superimposed acute lower airway process complicating the chronic lung disease. A code from this group is used to capture the acute bronchiolitis episode as a comorbid acute lower respiratory infection. Typical codes: J21.8, J21.9

    Related Codes

    J20-ACUTE-BRONCHITIS

    ICD-10-CM Code For Acute Bronchitis: Group Overview

    J22-UNSPECIFIED-ACUTE-LOWER-RESPIRATORY-INFECTION

    ICD-10-CM Code For Unspecified Acute Lower Respiratory Infection: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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