Is ICD-10-CM code J63 billable?

No, J63 (Pneumoconiosis due to other inorganic dusts) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code J63 belong to?

J63 belongs to Chapter 10 of the ICD-10-CM tabular list: J00–J99 (Diseases of the Respiratory System).

J63Not billable, use a more specific code below

Pneumoconiosis due to other inorganic dusts

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

7 billable codes under J63: none are a CC or MCC; all map to HCC 280 (Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders).An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Excludes1: not coded here, use a different code

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 J63.

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.

Chronic Obstructive Pulmonary Disease [COPD] and Asthma (page 56)
Acute Respiratory Failure (page 56)
Influenza due to certain identified influenza viruses (page 57)
Ventilator associated Pneumonia (page 57)
Vaping-related disorders (page 58)

Read Section I.C.10 (page 56)

All codes under J63

J63 can't be used on a claim. Pick a billable code below; grey headings group them.

J63 MS-DRGs

As the principal diagnosis, all 7 billable codes under J63 group 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.

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.

Code history

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