J66Not billable, use a more specific code below

Airway disease due to specific organic dust

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

4 billable codes under J66: 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.

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Instructional notes

Excludes2: not included here, code separately if applicable

  • allergic alveolitis (J67.-)
  • asbestosis (J61)
  • bagassosis (J67.1)
  • farmer's lung (J67.0)
  • hypersensitivity pneumonitis due to organic dust (J67.-)
  • reactive airways dysfunction syndrome (J68.3)

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 J66.

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)

All codes under J66

J66 can't be used on a claim. Pick a billable code below; grey headings group them.

J66 MS-DRGs

As the principal diagnosis, all 4 billable codes under J66 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.

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.