Is J61 a billable ICD-10-CM code?

Yes. J61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J61 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 J61?

J61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J61

J61 — Pneumoconiosis due to asbestos and other mineral fibers

Billable / specific codeICD-10-CM

J61 is a billable, specific ICD-10-CM code for pneumoconiosis due to asbestos and other mineral fibers. 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.

pleural plaque with asbestosis (J92.0)
pneumoconiosis with tuberculosis, any type in A15 (J65)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Asbestosis

Risk adjustment

J61 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

J61 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 J61 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 J61.

Amianthosis
Asbestosis(occupational)
Pneumoconiosis›asbestos
Pneumoconiosis›mineral fibers NEC
Fibrosis, fibrotic›lung›with›asbestosis

Questions about J61

Is J61 a billable ICD-10-CM code?: Yes. J61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J61 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 J61?: J61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.