Is J63.6 a billable ICD-10-CM code?

Yes. J63.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J63.6 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 J63.6?

J63.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above J63.6 (J63) and apply to it just the same.

J63.6

J63.6 — Pneumoconiosis due to other specified inorganic dusts

Billable / specific codeICD-10-CM

J63.6 is a billable, specific ICD-10-CM code for pneumoconiosis due to other specified inorganic dusts. It is valid for submission on a claim.

Excludes1 inherited from the categories above J63.6

These are not written on J63.6, but they bind it: a note on a category applies to every code beneath it. Billing J63.6 with anything listed here is a denial.

Written on J63 — Pneumoconiosis due to other inorganic dusts

pneumoconiosis with tuberculosis, any type in A15 (J65)

Risk adjustment

J63.6 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

J63.6 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 J63.6 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 J63.6.

Lead miner's lung
Pneumoconiosis›dust›inorganic NEC

Code history

J63.6 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share J63. If J63.6 is not quite right, the correct code is usually one of these.

Questions about J63.6

Is J63.6 a billable ICD-10-CM code?: Yes. J63.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J63.6 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 J63.6?: J63.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above J63.6 (J63) and apply to it just the same.