J70.0

J70.0: Acute pulmonary manifestations due to radiation

Billable / specific codeICD-10-CM

J70.0 is a billable, specific ICD-10-CM code for acute pulmonary manifestations due to radiation. It is valid for submission on a claim.

Check J70.0 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code (W88-W90, X39.0-) to identify the external cause

Inclusion terms

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

Radiation pneumonitis

Other codes that can never be billed with J70.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

T66Radiation sickness, unspecified
T66.XXXARadiation sickness, unspecified, initial encounter
T66.XXXDRadiation sickness, unspecified, subsequent encounter
T66.XXXSRadiation sickness, unspecified, sequela

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J70.0 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52466Nebulizers - Policy Article
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

Pneumonia›radiation
Pneumonitis›radiation
Poisoning›radiation
Effect, adverse›radiation NOS›pneumonitis
Inflammation, inflamed, inflammatory›respiratory, upper›acute, due to radiation
Bronchitis›acute or subacute›due to›radiation
Edema, edematous›lung›due to›radiation
Effect, adverse›radiation NOS›pulmonary manifestations›acute
Disease, diseased›respiratory›acute or subacute NOS›due to›radiation

Code history

Unchanged in every release from FY2024 to FY2027.