Is J68 a billable ICD-10-CM code?

No. J68 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does J68 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Lung diseases due to external agents (J60-J70).

J68

J68 — Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

Non-billable headerICD-10-CM

J68 is a non-billable header ICD-10-CM code for respiratory conditions due to inhalation of chemicals, gases, fumes and vapors. It cannot be billed on its own: choose one of the more specific child codes below.

Code first

The underlying condition must be sequenced before this code.

(T51-T65) to identify cause

Use additional code

Add a secondary code to capture the detail described below.

code to identify associated respiratory conditions, such as:
acute respiratory failure (J96.0-)

Other codes that can never be billed with J68

These codes carry an Excludes1 note pointing at J68. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J68 alone.

J18Pneumonia, unspecified organism
J39Other diseases of upper respiratory tract
J40Bronchitis, not specified as acute or chronic
J67Hypersensitivity pneumonitis due to organic dust
J68.4Chronic respiratory conditions due to chemicals, gases, fumes and vapors
J81Pulmonary edema

Risk adjustment

J68 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead J68

7 child codes. Green means billable.

Questions about J68

Is J68 a billable ICD-10-CM code?: No. J68 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J68 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Lung diseases due to external agents (J60-J70).