ICD-10 J60
Billable / Specific HCC v28: 112Coalworker's pneumoconiosis
About ICD-10-CM J60
ICD-10-CM code J60 represents Coalworker's pneumoconiosis. This is a billable/specific code in the Respiratory System chapter (block J60). The 2026 edition of ICD-10-CM J60 became effective on October 1, 2025.
Coding Tips for J60
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
J60 is a CMS-HCC v28 risk-adjustment code (category 112). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under J60. Per CMS ICD-10-CM Tabular 2026.
- Anthracosilicosis
- Anthracosis
- Black lung disease
- Coalworker's lung
Type 1 Excludes
Pure excludes, these codes can never be coded together with J60. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- coalworker pneumoconiosis with tuberculosis, any type in A15 (J65)
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for J60
Local Coverage Determinations (LCDs) from CMS MACs that list J60 as a covered diagnosis.
Showing top 10 of 172 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J60.
1 Aetna
5 Medicare
CPT Codes Commonly Billed with J60
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert J60 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| J60 | 500 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To J60
Other codes in section J60-J70 (Lung diseases due to external agents).
ICD-10 J60, Billing FAQ
Is ICD-10 code J60 billable? +
Yes, J60 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to J60? +
ICD-10 J60 includes: Anthracosilicosis; Anthracosis; Black lung disease, and 1 more clinical synonyms.
What codes are Type 1 Excludes for J60? +
Type 1 Excludes (never code together with J60): coalworker pneumoconiosis with tuberculosis, any type in A15 (J65)
Does J60 affect Medicare Advantage HCC risk adjustment? +
Yes. J60 maps to CMS-HCC v28 category 112. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does J60 map to? +
Per CMS GEMs, J60 maps to ICD-9 codes: 500. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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