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ICD-10 Guide
ICD-10 CodesJ63

J63

Pneumoconiosis due to other inorganic dusts

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J63 is a used to indicate a diagnosis of pneumoconiosis due to other inorganic dusts.

Key Diagnostic Point:

Pneumoconiosis due to other inorganic dusts encompasses a group of lung diseases caused by the inhalation of various inorganic dusts, excluding those classified under silicosis and asbestosis. Common dusts include talc, barium, and various metal oxides. Clinically, patients may present with symptoms such as chronic cough, dyspnea, and chest pain, which can progress to more severe respiratory impairment. The anatomy involved primarily includes the alveoli and bronchioles, where dust particles can induce inflammation and fibrosis. Disease progression can lead to significant pulmonary dysfunction, and in severe cases, respiratory failure. Diagnostic considerations include a thorough occupational history, imaging studies such as chest X-rays or CT scans, and pulmonary function tests to assess the extent of lung involvement. A multidisciplinary approach may be necessary for management, including pulmonology, occupational medicine, and respiratory therapy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed occupational history and imaging studies.
  • Treatment complexity: Management may involve multiple specialties and long-term follow-up.
  • Documentation requirements: Comprehensive documentation of exposure history and clinical findings is essential.
  • Coding specificity: Requires accurate identification of the specific type of pneumoconiosis.

Audit Risk Factors

  • Common coding errors: Misclassification of pneumoconiosis types.
  • Documentation gaps: Incomplete occupational exposure history.
  • Billing challenges: Difficulty in establishing causation between exposure and disease.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Occupational Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

7 codes
J63.0
Aluminosis (of lung)
J63.1
Bauxite fibrosis (of lung)
J63.2
Berylliosis
J63.3
Graphite fibrosis (of lung)
J63.4
Siderosis
J63.5
Stannosis
J63.6
Pneumoconiosis due to other specified inorganic dusts

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pneumoconiosis due to other inorganic dusts has significant clinical implications, affecting respiratory health and quality of life. The population health impact is notable in industries with high exposure risks, leading to increased healthcare utilization and costs. Quality measures focus on early diagnosis and management to prevent disease progression. Epidemiologically, understanding the prevalence of J63 can inform public health initiatives aimed at reducing occupational exposure and improving workplace safety.

ICD-9 vs ICD-10

Pneumoconiosis due to other inorganic dusts has significant clinical implications, affecting respiratory health and quality of life. The population health impact is notable in industries with high exposure risks, leading to increased healthcare utilization and costs. Quality measures focus on early diagnosis and management to prevent disease progression. Epidemiologically, understanding the prevalence of J63 can inform public health initiatives aimed at reducing occupational exposure and improving workplace safety.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed notes that justify the diagnosis and any associated treatments. Common denials may arise from insufficient documentation linking the condition to specific dust exposure. Best practices include ensuring that all relevant clinical data is included in the patient’s medical record and that coding is precise to avoid discrepancies during audits.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J63?

J63 covers pneumoconiosis caused by inhalation of inorganic dusts such as talc, barium, and other non-silica, non-asbestos dusts. Each specific condition may have distinct diagnostic criteria based on exposure history and clinical presentation.

When should J63 be used instead of related codes?

J63 should be used when the pneumoconiosis is specifically due to inorganic dusts not classified under silicosis (J60) or asbestosis (J61). Accurate coding requires a clear understanding of the patient's exposure history.

What documentation supports J63?

Documentation should include a detailed occupational history, results from imaging studies, pulmonary function tests, and clinical symptoms. Evidence of exposure to specific inorganic dusts is crucial for accurate coding.