Is J67.1 a billable ICD-10-CM code?

Yes. J67.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J67.1 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 J67.1?

J67.1 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 J67.1 (J67) and apply to it just the same.

J67.1

J67.1 — Bagassosis

Billable / specific codeICD-10-CM

J67.1 is a billable, specific ICD-10-CM code for bagassosis. It is valid for submission on a claim.

Inclusion terms

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

Bagasse disease
Bagasse pneumonitis

Excludes1 inherited from the categories above J67.1

These are not written on J67.1, but they bind it: a note on a category applies to every code beneath it. Billing J67.1 with anything listed here is a denial.

Written on J67 — Hypersensitivity pneumonitis due to organic dust

pneumonitis due to inhalation of chemicals, gases, fumes or vapors (J68.0)

Risk adjustment

J67.1 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

J67.1 is named in 14 Medicare coverage policies — 12 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 J67.1 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 J67.1.

Bagasse disease or pneumonitis
Bagassosis
Disease, diseased›bagasse
Pneumoconiosis›bagasse, bagassosis
Pneumonitis›hypersensitivity›bagassosis
Fibrosis, fibrotic›lung›with›bagassosis

Code history

J67.1 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 J67. If J67.1 is not quite right, the correct code is usually one of these.

Questions about J67.1

Is J67.1 a billable ICD-10-CM code?: Yes. J67.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J67.1 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 J67.1?: J67.1 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 J67.1 (J67) and apply to it just the same.