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.
Excludes1 — 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
These codes carry an Excludes1 note pointing at J60. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J60 alone.
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.
Medicare coverage
J60 is named in 19 Medicare coverage policies — 17 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52466Nebulizers - Policy Article
- A52466Nebulizers - Policy Article
How J60 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J60.
- 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
Questions about J60
- Is J60 a billable ICD-10-CM code?
- Yes. J60 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J60 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Lung diseases due to external agents (J60-J70).
- What cannot be coded together with J60?
- J60 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.