MCMedicalCodingSoftware
J92.0

J92.0: Pleural plaque with presence of asbestos

Billable / specific codeICD-10-CM

J92.0 is a billable, specific ICD-10-CM code for pleural plaque with presence of asbestos. It is valid for submission on a claim.

Check J92.0 with the rest of the claim: free scrubber

Other codes that can never be billed with J92.0

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

  • J61Pneumoconiosis due to asbestos and other mineral fibers

Risk adjustment

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

Medicare coverage

J92.0 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
  • A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
  • A57205Billing and Coding: Oximetry Services
  • A57224Billing and Coding: Respiratory Care

Alphabetic index entries that lead here

  • Plaque›pleural›with asbestos
  • Thickening›pleura›with asbestos

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under J92

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.