J65 — Pneumoconiosis associated with tuberculosis
J65 is a billable, specific ICD-10-CM code for pneumoconiosis associated with tuberculosis. It is valid for submission on a claim.
Other codes that can never be billed with J65
These codes carry an Excludes1 note pointing at J65. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J65 alone.
Risk adjustment
J65 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
J65 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 J65 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 J65.
- Silicotuberculosis
- Pneumoconiosis›with tuberculosis(any type in A15)
- Silicosis, silicotic›with tuberculosis
- Tuberculosis, tubercular, tuberculous›collier's
- Tuberculosis, tubercular, tuberculous›grinder's
- Tuberculosis, tubercular, tuberculous›millstone makers'
- Tuberculosis, tubercular, tuberculous›miner's
- Tuberculosis, tubercular, tuberculous›molder's
- Tuberculosis, tubercular, tuberculous›potter's
- Tuberculosis, tubercular, tuberculous›sandblaster's
- Tuberculosis, tubercular, tuberculous›stonemason's
- Tuberculosis, tubercular, tuberculous›with pneumoconiosis(any condition in J60-J64)
Questions about J65
- Is J65 a billable ICD-10-CM code?
- Yes. J65 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J65 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Lung diseases due to external agents (J60-J70).