J70.4

J70.4: Drug-induced interstitial lung disorders, unspecified

Billable / specific codeICD-10-CMunspecified

J70.4 is a billable, specific ICD-10-CM code for drug-induced interstitial lung disorders, unspecified. It is valid for submission on a claim.

Check J70.4 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

interstitial pneumonia NOS (J84.9)
lymphoid interstitial pneumonia (J84.2)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Other codes that can never be billed with J70.4

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

J18Pneumonia, unspecified organism
J84Other interstitial pulmonary diseases

Risk adjustment

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

Medicare coverage

J70.4 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
A56432Billing and Coding: Infliximab
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)

Alphabetic index entries that lead here

Disorder›lung, interstitial, drug-induced
Pneumonitis›chemotherapy

Code history

Unchanged in every release from FY2024 to FY2027.