J66.8
J66.8: Airway disease due to other specific organic dusts
Billable / specific codeICD-10-CM
J66.8 is a billable, specific ICD-10-CM code for airway disease due to other specific organic dusts. It is valid for submission on a claim.
Check J66.8 with the rest of the claim: free scrubberExcludes2 inherited from the categories above J66.8
Not part of this code, but both may be coded when both are present.
Risk adjustment
J66.8 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
J66.8 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
- Pneumopathy NEC›due to organic dust NEC
- Pneumoconiosis›dust›organic NEC
- Disease, diseased›airway›obstructive, chronic›due to›specific organic dusts NEC
Code history
Unchanged in every release from FY2024 to FY2027.