J60-J70 — Lung diseases due to external agents
ICD-10-CM codes J60-J70 cover lung diseases due to external agents, within diseases of the respiratory system. The block holds 52 codes across 11 categories, of which 45 are billable and 7 are header codes that cannot be submitted on a claim.
Risk adjustment in J60-J70
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders
- HCC 282 Aspiration and Specified Bacterial Pneumonias
What else to watch in J60-J70
- 45 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in J60-J70
- J60Coalworker's pneumoconiosis
- J61Pneumoconiosis due to asbestos and other mineral fibers
- J62Pneumoconiosis due to dust containing silica
- J63Pneumoconiosis due to other inorganic dusts
- J64Unspecified pneumoconiosis
- J65Pneumoconiosis associated with tuberculosis
- J66Airway disease due to specific organic dust
- J67Hypersensitivity pneumonitis due to organic dust
- J68Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors
- J69Pneumonitis due to solids and liquids
- J70Respiratory conditions due to other external agents