J60: Coalworker's pneumoconiosis
J60 is a billable, specific ICD-10-CM code for coalworker's pneumoconiosis. It is valid for submission on a claim.
Check J60 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Anthracosilicosis
- Anthracosis
- Black lung disease
- Coalworker's lung
Other codes that can never be billed with J60
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
J60 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders0.319 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
J60 is named in 13 Medicare coverage policies: 11 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52466Nebulizers - Policy Article
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Anthracosilicosis
- Anthracosis(lung) (occupational)
- Carbon lung
- Coalworker's lung or pneumoconiosis
- Collier's asthma or lung
- Miners' asthma or lung
- Asthma, asthmatic›collier's
- Asthma, asthmatic›miner's
- Black›lung(disease)
- Coalminer's›lung or pneumoconiosis
- Complaint›miners'
- Disease, diseased›black lung
Code history
Unchanged in every release from FY2024 to FY2027.