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J64 - Unspecified pneumoconiosis

ICD-10-CM Chapter 10: Diseases of the respiratory system · J60-J70 Lung diseases due to external agents (J60-J70) · Top-level category · FY2027

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom J64

Mutually exclusive: these conditions are never reported together with this code.

  • pneumonoconiosis with tuberculosis, any type in A15 (J65)
Excludes 2 — Not Included HereFrom J60-J70 Lung diseases due to external agents (J60-J70)

Not part of this code; report both codes when the patient has both conditions.

  • asthma (J45.-)
  • malignant neoplasm of bronchus and lung (C34.-)
Excludes 2 — Not Included HereFrom Chapter J00-J99

Not part of this code; report both codes when the patient has both conditions.

  • 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 Chapter J00-J99

Add a secondary code to identify the associated condition or cause when it is documented.

  • 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 Chapter J00-J99

Instructional notes from the ICD-10-CM tabular list.

  • 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 1969,541 discharges

Interstitial Lung Disease With Mcc

Avg. Medicare Payment

$15,391

Total Payment$18,762
Patient Responsibility$3,370
Hospital Charge$86,178
DRG 1971,625 discharges

Interstitial Lung Disease With Cc

Avg. Medicare Payment

$7,720

Total Payment$10,364
Patient Responsibility$2,644
Hospital Charge$47,651