J44.0 ICD-10-CA code: Chronic obstructive pulmonary disease with acute lower respiratory infection

J44.0 is the ICD-10-CA code for “Chronic obstructive pulmonary disease with acute lower respiratory infection” in CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026.

Official description

J44.0

Chronic obstructive pulmonary disease with acute lower respiratory infection

Short description: COPD with acute lower resp infection

ICD-10-CA · Canada · Also written J440

Index terms

Entries in CIHI’s alphabetical index that lead to J44.0. Searching the index by the condition the note names is how coders reach this code.

  • Bronchiolitis (acute) (infective) (subacute), with, chronic obstructive lung disease (COPD)
  • Disease, diseased, airway, obstructive, chronic, with, lower respiratory infection (except influenza)
  • Disease, diseased, lung, obstructive (chronic) (COPD), with, lower respiratory infection (except influenza)
  • Asthma, asthmatic (bronchial) (catarrh) (spasmodic), chronic, obstructive, with (acute), exacerbation NEC, infective
  • Asthma, asthmatic (bronchial) (catarrh) (spasmodic), chronic, obstructive, with (acute), lower respiratory infection
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved), with, chronic obstructive lung disease (COPD)
  • Bronchiolitis (acute) (infective) (subacute), with, influenza, flu or grippe, with chronic obstructive lung disease (COPD)
  • Disease, diseased, lung, obstructive (chronic) (COPD), with, bronchitis, emphysematous, with acute lower respiratory infection
  • Asthma, asthmatic (bronchial) (catarrh) (spasmodic), with, COPD (chronic obstructive pulmonary disease), with (acute), lower respiratory infection
  • Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) (with tracheitis)(15 years of age and above), acute or subacute (with bronchospasm or obstruction), with chronic obstructive lung disease (COPD)

Notes for J44.0

As CIHI prints them, with any note J44.0 takes from the headings above it.

Includes

Use additional code

Add a code for this detail when the note documents it.

  • Use additional code to identify:• acute bronchiolitis (J21.-)• acute bronchitis (J20.-)• pneumonia (any form in J10.0, J11.0, J12.-, J13, J14, J15.-, J16.-, J18.-)

Excludes

Conditions classified elsewhere.

  • Asthma (J45.-)asthmatic bronchitis NOS (J45.9-)bronchiectasis (J47)chronic:• bronchitis• NOS (J42)• simple and mucopurulent (J41.-)• tracheitis (J42)• tracheobronchitis (J42)emphysema (J43.-)lung diseases due to external agents (J60-J70)From J44 Other chronic obstructive pulmonary disease
  • Cystic fibrosis (E84.-)respiratory infection NOS (J98.7)From J40-J47 Chronic lower respiratory diseases
  • Certain:• conditions originating in the perinatal period (P00-P96)• infectious and parasitic diseases (A00-B99)complications of pregnancy, childbirth and the puerperium (O00-O99)congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)endocrine, nutritional and metabolic diseases (E00-E90)injury, poisoning and certain other consequences of external causes (S00-T98)neoplasms (C00-D48)symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)From Chapter 10: Diseases of the respiratory system (J00-J99)

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).From Chapter 10: Diseases of the respiratory system (J00-J99)

Where J44.0 sits

  1. 1ChapterChapter 10: Diseases of the respiratory system (J00-J99)
  2. 2Block J40-J47Chronic lower respiratory diseases
  3. 3Category J44Other chronic obstructive pulmonary disease
  4. 4Valid code J44.0Chronic obstructive pulmonary disease with acute lower respiratory infection

Source and release

Data release
ICD-10-CA · FY 2026–2027
Effective date
Apr 1, 2026
Publisher
CIHI

This page is built from the ICD-10-CA catalog that Vero Codes reads when it suggests codes: Canadian Institute for Health Information’s FY 2026–2027 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does ICD-10-CA code J44.0 mean?

J44.0 is the ICD-10-CA code for “Chronic obstructive pulmonary disease with acute lower respiratory infection” in CIHI’s ICD-10-CA FY 2026–2027 release.

Where is J44.0 in ICD-10-CA?

J44.0 sits under J44 Other chronic obstructive pulmonary disease, within J40-J47 Chronic lower respiratory diseases, within Chapter 10: Diseases of the respiratory system (J00-J99).

What coding notes apply to J44.0?

ICD-10-CA lists Use additional code, Includes, Excludes, Note notes for J44.0, including those from the headings it sits under. They are listed on this page with where each one comes from.

Which ICD-10-CA release does this page use?

It uses CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026 to Mar 31, 2027. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.