ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J64

Billable / Specific HCC v28: 112

Unspecified pneumoconiosis

J64
Block
0
Synonyms
98
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM J64

ICD-10-CM code J64 represents Unspecified pneumoconiosis. This is a billable/specific code in the Respiratory System chapter (block J64). The 2026 edition of ICD-10-CM J64 became effective on October 1, 2025.

Coding Tips for J64

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

J64 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.

Type 1 Excludes

Pure excludes, these codes can never be coded together with J64. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • pneumonoconiosis with tuberculosis, any type in A15 (J65)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 112
ESRD-HCC
Category 112
RxHCC (Part D)
Category 112

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 J64

Local Coverage Determinations (LCDs) from CMS MACs that list J64 as a covered diagnosis.

98 LCDs

Showing top 10 of 98 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Pulmonary Stress Testing
Article ID: 56784, Effective: 2024-10-01 00:00:00, 199 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Pulmonary Stress Testing
Article ID: 56784, Effective: 2024-10-01 00:00:00, 199 covered, 0 non-covered
CPT 94617 →
CMS LCD: Billing and Coding: Pulmonary Stress Testing
Article ID: 56784, Effective: 2024-10-01 00:00:00, 199 covered, 0 non-covered
CPT 94619 →
CMS LCD: Billing and Coding: Pulmonary Stress Testing
Article ID: 56784, Effective: 2024-10-01 00:00:00, 199 covered, 0 non-covered
CPT 94621 →
CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care)
Article ID: 56717, Effective: 2026-01-01 00:00:00, 816 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care)
Article ID: 56717, Effective: 2026-01-01 00:00:00, 816 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care)
Article ID: 56717, Effective: 2026-01-01 00:00:00, 816 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care)
Article ID: 56717, Effective: 2026-01-01 00:00:00, 816 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care)
Article ID: 56717, Effective: 2026-01-01 00:00:00, 816 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care)
Article ID: 56717, Effective: 2026-01-01 00:00:00, 816 covered, 0 non-covered
CPT G0238 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J64.

7 policies

5 Medicare

Nebulizers - Policy Article
Policy ID: ART-52466
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Respiratory Therapy (Respiratory Care)
Policy ID: ART-56717
Billing and Coding: Respiratory Therapy and Oximetry Services
Policy ID: ART-56730
Billing and Coding: Pulmonary Stress Testing
Policy ID: ART-56784

CPT Codes Commonly Billed with J64

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for J64

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 J64 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J64 505 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 J64, Billing FAQ

Is ICD-10 code J64 billable? +

Yes, J64 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for J64? +

Type 1 Excludes (never code together with J64): pneumonoconiosis with tuberculosis, any type in A15 (J65)

Does J64 affect Medicare Advantage HCC risk adjustment? +

Yes. J64 maps to CMS-HCC v28 category 112. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What ICD-9 codes does J64 map to? +

Per CMS GEMs, J64 maps to ICD-9 codes: 505. 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 June 1, 2026.

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