J67.9: Hypersensitivity pneumonitis due to unspecified organic dust
J67.9 is a billable, specific ICD-10-CM code for hypersensitivity pneumonitis due to unspecified organic dust. It is valid for submission on a claim.
Check J67.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Allergic alveolitis (extrinsic) NOS
- Hypersensitivity pneumonitis NOS
Other codes that can never be billed with J67.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J39.3Upper respiratory tract hypersensitivity reaction, site unspecified
Risk adjustment
J67.9 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
J67.9 is named in 7 Medicare coverage policies: 5 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
- Allergy, allergic›alveolitis(extrinsic)
- Pneumonitis›allergic(due to)
- Pneumonitis›hypersensitivity
- Obstruction, obstructed, obstructive›airway›with›allergic alveolitis
- Disease, diseased›lung›obstructive›with›alveolitis, allergic
- Disease, diseased›lung›obstructive›with›hypersensitivity pneumonitis
Code history
Unchanged in every release from FY2024 to FY2027.