Is ICD-10-CM code J67 billable?

No, J67 (Hypersensitivity pneumonitis due to organic dust) 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 J67 belong to?

J67 belongs to Chapter 10 of the ICD-10-CM tabular list: J00–J99 (Diseases of the Respiratory System).

J67Not billable, use a more specific code below

Hypersensitivity pneumonitis due to organic dust

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

10 billable codes under J67: 3 are a CC; all map to HCC 280 (Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Includes: conditions that are coded here

allergic alveolitis and pneumonitis due to inhaled organic dust and particles of fungal, actinomycetic or other origin

Excludes1: not coded here, use a different code

pneumonitis due to inhalation of chemicals, gases, fumes or vapors (J68.0)

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 J67.

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 J67

J67 can't be used on a claim. Pick a billable code below; grey headings group them.

J67 MS-DRGs

As the principal diagnosis, all 10 billable codes under J67 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.

Other codes that refer to J67

Notes on these codes point to J67.

B35-B49 Excludes2: hypersensitivity pneumonitis due to organic dust (J67.-)
J18 Excludes2: pneumonitis due to external agents (J67-J70)
J66 Excludes2: allergic alveolitis (J67.-)
J66 Excludes2: hypersensitivity pneumonitis due to organic dust (J67.-)

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.