DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

J64 diagnosis code · Billable category · FY2027

J64 Unspecified pneumoconiosis

  • Billable
  • Not CC/MCC
  • HCC 280
  • POA reported

J64 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.

CC / MCC
Neither
MS-DRG
196-198
HCC V28
280
POA
Reported
Code Editor
–
Index entries
4

Instructions

At J64

Excludes1

  • pneumonoconiosis with tuberculosis, any type in A15 (J65) A15 J65

Notes that also apply

Block J60-J70 instructions (Excludes2 2): printed on the block page.

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Pneumoconiosis (due to) (inhalation of) → J64
  • Asthma, asthmatic (bronchial) (catarrh) (spasmodic)pneumoconiotic NEC → J64
  • Fibrosis, fibroticlung (atrophic) (chronic) (confluent) (massive) (perialveolar) (peribronchial)withdust reticulation → J64
  • Fibrosis, fibroticlung (atrophic) (chronic) (confluent) (massive) (perialveolar) (peribronchial)withpneumoconiosis NOS → J64

NCHS Alphabetic Index. Index first, then the Tabular List.

Medicare grouping and edits

CMS files for J64
CC / MCCNeither
Appendix BMDC 04 Diseases and Disorders of the Respiratory System, MS-DRG 196-198 (Interstitial Lung Disease with MCC…)
Code Editor–
POAReported
HCC V28HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders

CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.

Hierarchy