ICD-10 J69
Non-Billable HeaderPneumonitis due to solids and liquids
About ICD-10-CM J69
ICD-10-CM code J69 represents Pneumonitis due to solids and liquids. This is a non-billable header code in the Respiratory System chapter (block J69). The 2026 edition of ICD-10-CM J69 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under J69. Per CMS ICD-10-CM Tabular 2026.
- Codes also, if applicable, other types of pneumonias
Type 1 Excludes
Pure excludes, these codes can never be coded together with J69. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- neonatal aspiration syndromes (P24.-)
- postprocedural pneumonitis (J95.4)
Medicare LCD Coverage for J69
Local Coverage Determinations (LCDs) from CMS MACs that list J69 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J69.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J69 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with J69
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.
Codes Adjacent To J69
Other codes in section J60-J70 (Lung diseases due to external agents).
ICD-10 J69, Billing FAQ
Is ICD-10 code J69 billable? +
No, J69 is a non-billable header code. Use a more specific child code from block J69 when submitting claims.
What other names or terms map to J69? +
ICD-10 J69 includes: Codes also, if applicable, other types of pneumonias.
What codes are Type 1 Excludes for J69? +
Type 1 Excludes (never code together with J69): neonatal aspiration syndromes (P24.-); postprocedural pneumonitis (J95.4)
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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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