All ICD10 Codes
J60Billable, valid for claims from October 1, 2026

Coalworker's pneumoconiosis

In Lung diseases due to external agents (J60-J70), chapter 10: Diseases of the Respiratory System

  • J60 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under J60-J70 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Counts toward HCC 280 (Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders) in the Medicare Advantage risk model (CMS-HCC V28).
  • AHRQ's Chronic Condition Indicator classes it as chronic: expected to last 12 months or longer and to limit daily life or need ongoing care.
  • 139 US deaths in 2024 had an underlying cause in category J60, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.
  • Expected only for adult patients. (Adult list)

Also indexed as: Anthracosilicosis; Anthracosis; Asthma, collier's; Asthma, miner's; Black, lung; Carbon lung; Coalminer's, lung or pneumoconiosis; Coalworker's lung or pneumoconiosis; Collier's asthma or lung; Complaint, miners'; Disease, black lung; Disease, lung, black; Fibrosis, lung, with, anthracosilicosis; Fibrosis, lung, with, anthracosis; Lymphadenitis, anthracosis; Miners' asthma or lung; Pneumoconiosis, coal miners'; Pneumoconiosis, coalworkers'; Pneumoconiosis, collier's; Pneumoconiosis, miner's; Pneumoconiosis, silica, silicate NEC, with carbon; Syndrome, black, lung

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Instructional notes

Includes: conditions that are coded here

  • Anthracosilicosis
  • Anthracosis
  • Black lung disease
  • Coalworker's lung

Excludes1: not coded here, use a different code

  • coalworker pneumoconiosis with tuberculosis, any type in A15 (J65)

Also applies, from Lung diseases due to external agents (J60-J70)

These notes sit on J60-J70 and apply to every code under it, including J60.

Excludes2: not included here, code separately if applicable

  • asthma (J45.-)
  • malignant neoplasm of bronchus and lung (C34.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers COPD and asthma exacerbations, sequencing of acute respiratory failure, confirmed versus suspected identified influenza, ventilator associated pneumonia, and vaping-related disorders.

Read Section I.C.10 (page 56)

Other codes under J60-J70

Lung diseases due to external agents (J60-J70)

J60 MS-DRGs

As the principal diagnosis, J60 groups to MS-DRG 196, 197, or 198 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

J60 is in Lung disease due to external agents (RSP013, its default category), with 45 codes. Others in it:

  • J61 Pneumoconiosis due to asbestos and other mineral fibers
  • J62.0 Pneumoconiosis due to talc dust
  • J62.8 Pneumoconiosis due to other dust containing silica
  • J63.0 Aluminosis (of lung)
  • J63.1 Bauxite fibrosis (of lung)
  • J63.2 Berylliosis
  • J63.3 Graphite fibrosis (of lung)
  • J63.4 Siderosis

Medicare coverage articles listing J60

These 9 Medicare billing and coding articles list J60 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.

Other codes that refer to J60

Notes on these codes point to J60.

  • J39.3 Excludes1: pneumoconiosis (J60-J67.9)
  • J44.1 Excludes2: lung diseases due to external agents (J60-J70)
  • J44.9 Excludes2: lung diseases due to external agents (J60-J70)
  • J45 Excludes1: miner's asthma (J60)
  • J45.909 Excludes2: lung diseases due to external agents (J60-J70)
  • J65 Includes: Any condition in J60-J64 with tuberculosis, any type in A15
  • J81 Excludes1: pulmonary edema due to external agents (J60-J70)
  • J84 Excludes2: lung diseases due to external agents (J60-J70)
  • J84.170 Code First: lung diseases due to external agents (J60-J70)
  • T51-T65 Use Additional Code: for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
  • Z83.6 Includes: Conditions classifiable to J00-J39, J60-J99

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Interstitial Lung Diseases

Interstitial lung disease is the name for a large group of diseases that inflame or scar the lungs. The inflammation and scarring make it hard to get enough oxygen. The scarring is called pulmonary fibrosis.

Read more about interstitial lung diseases on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 500 Coal workers' pneumoconiosis
ICD-9 to ICD-10 converter