Is ICD-10-CM code J65 billable?

Yes, J65 (Pneumoconiosis associated with tuberculosis) is a billable ICD-10-CM diagnosis code, valid for reimbursement on HIPAA-covered transactions for FY2027.

What chapter does ICD-10-CM code J65 belong to?

J65 belongs to Chapter 10 of the ICD-10-CM tabular list: J00–J99 (Diseases of the Respiratory System).

J65Billable, valid for claims from October 1, 2026

Pneumoconiosis associated with tuberculosis

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

J65 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.

Also indexed as: Pneumoconiosis, with tuberculosis; Silicosis, with tuberculosis; Silicotuberculosis; Tuberculosis, with pneumoconiosis; Tuberculosis, collier's; Tuberculosis, grinder's; Tuberculosis, millstone makers'; Tuberculosis, miner's; Tuberculosis, molder's; Tuberculosis, potter's; Tuberculosis, sandblaster's; Tuberculosis, stonemason's

Instructional notes

Includes: conditions that are coded here

Any condition in J60-J64 with tuberculosis, any type in A15
Silicotuberculosis

Use additional code: add a second code for this, listed after this one

code, if applicable, for associated cachexia (E88.A)

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 J65.

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)

Other codes under J60-J70

Lung diseases due to external agents (J60-J70)

J65 MS-DRGs

As the principal diagnosis, J65 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.

J65 is in Lung disease due to external agents (RSP013, its default category), with 45 codes. Others in it:

J60 Coalworker's pneumoconiosis
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)

J65 is in Tuberculosis (INF001), with 59 codes. Others in it:

A15.0 Tuberculosis of lung
A15.4 Tuberculosis of intrathoracic lymph nodes
A15.5 Tuberculosis of larynx, trachea and bronchus
A15.6 Tuberculous pleurisy
A15.7 Primary respiratory tuberculosis
A15.8 Other respiratory tuberculosis
A15.9 Respiratory tuberculosis unspecified
A17.0 Tuberculous meningitis

Medicare coverage articles listing J65

These 9 Medicare billing and coding articles list J65 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 J65

Notes on these codes point to J65.

A15-A19 Excludes1: pneumoconiosis associated with tuberculosis, any type in A15 (J65)
A15-A19 Excludes1: silicotuberculosis (J65)
J60 Excludes1: coalworker pneumoconiosis with tuberculosis, any type in A15 (J65)
J61 Excludes1: pneumoconiosis with tuberculosis, any type in A15 (J65)
J62 Excludes1: pneumoconiosis with tuberculosis, any type in A15 (J65)
J63 Excludes1: pneumoconiosis with tuberculosis, any type in A15 (J65)
J64 Excludes1: pneumonoconiosis with tuberculosis, any type in A15 (J65)

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.

ICD-9-CM equivalent

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

505 Pneumoconiosis, unspecified (approximate)

ICD-9 to ICD-10 converter