J70.1

J70.1: Chronic and other pulmonary manifestations due to radiation

Billable / specific codeICD-10-CM

J70.1 is a billable, specific ICD-10-CM code for chronic and other pulmonary manifestations due to radiation. It is valid for submission on a claim.

Check J70.1 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.

Fibrosis of lung following radiation

Other codes that can never be billed with J70.1

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

J84.1Other interstitial pulmonary diseases with fibrosis

Risk adjustment

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

Medicare coverage

J70.1 is named in 15 Medicare coverage policies: 15 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)
A56730Billing and Coding: Respiratory Therapy and Oximetry Services

Alphabetic index entries that lead here

Effect, adverse›radiation NOS›fibrosis of lung
Fibrosis, fibrotic›lung›following radiation
Bronchitis›chronic›due to›radiation
Effect, adverse›radiation NOS›pulmonary manifestations›chronic
Inflammation, inflamed, inflammatory›respiratory, upper›due to›radiation
Disease, diseased›respiratory›chronic NOS›due to›radiation
Edema, edematous›lung›chronic›due to›radiation

Code history

Unchanged in every release from FY2024 to FY2027.