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    v1.0.28
    OpenPayerBilling CodesLung diseases due to external agentsICD-10-CM j65-pneumoconiosis-associated-with-tuberculosis
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    ICD-10-CM Code For Pneumoconiosis Associated With Tuberculosis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group J65 includes pneumoconiosis associated with tuberculosis, capturing lung disease caused by inhaled dusts in patients with concurrent or prior tuberculous infection and related pulmonary fibrosis. These ICD-10-CM diagnosis codes are used to document combined occupational lung disease and tuberculous involvement, capturing disease extent, sequelae, and complications affecting respiratory function. Accurate coding within the ICD-10-CM J65 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM J65: Pneumoconiosis Associated With Tuberculosis Overview

    This group includes pneumoconiosis occurring in association with tuberculosis, affecting the lungs and respiratory system. These diagnoses represent combined fibrotic occupational lung disease with active or healed tuberculous infection. Accurate coding is important for clinical records, public health tracking, and correct reimbursement for care related to complex pulmonary conditions.

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    When to Use

    Use a code from this group when documentation indicates pneumoconiosis with concurrent or historical tuberculosis affecting the lungs. Assign these codes when the clinical record specifies both dust-related pneumoconiosis and tuberculous involvement or sequelae contributing to the patients condition.

    ICD-10-CM Codes

    1 rows

    ICD-10-CM CodeDescription
    J65Pneumoconiosis associated with tuberculosis

    DRG Codes

    3 rows

    DRG CodeDescription
    196Interstitial Lung Disease with MCC
    197Interstitial Lung Disease with CC
    198Interstitial Lung Disease without CC/MCC

    Typical Clinical Scenarios

    • An adult miner in his 60s with a decades-long history of coal dust exposure presents with progressive chronic cough, exertional dyspnea, weight loss, night sweats, and low-grade fevers. Chest radiograph and CT show upper-lobe fibrotic opacities and cavitary lesions; sputum is positive for Mycobacterium tuberculosis on nucleic acid amplification testing. A diagnosis from this group is assigned because the patient has pneumoconiosis changes complicated by active pulmonary tuberculosis. Typical codes: J65
    • A middle-aged construction worker previously treated for silicosis attends a pulmonary clinic for gradual worsening of pulmonary function and recurrent hemoptysis; imaging demonstrates new consolidative and cavitary changes, and bronchoscopy with biopsy confirms tuberculous infection superimposed on existing silicosis. The encounter documents an established chronic occupational lung disease now associated with tuberculosis, warranting assignment of a code from this group. Typical codes: J65
    • An emergency department visit by a retired shipyard worker with acute high-grade fever, rapidly worsening shortness of breath, and pleuritic chest pain; chest imaging reveals diffuse pneumonitic changes in a background of known asbestosis, and sputum cultures subsequently grow Mycobacterium tuberculosis. Because the acute presentation represents tuberculosis occurring in a patient with preexisting pneumoconiosis, a code from this group is used to capture the combined diagnosis. Typical codes: J65

    Related Codes

    J60-COALWORKERS-PNEUMOCONIOSIS

    ICD-10-CM Code For Coalworker's Pneumoconiosis: Group Overview

    J61-PNEUMOCONIOSIS-DUE-TO-ASBESTOS

    ICD-10-CM Code For Pneumoconiosis Due To Asbestos And Other Mineral Fibers: Group Overview

    J62-PNEUMOCONIOSIS-DUE-TO-SILICA

    ICD-10-CM Code For Pneumoconiosis Due To Dust Containing Silica: Group Overview

    J63-PNEUMOCONIOSIS-DUE-TO-OTHER-INORGANIC-DUSTS

    ICD-10-CM Code For Pneumoconiosis Due To Other Inorganic Dusts: Group Overview

    J64-UNSPECIFIED-PNEUMOCONIOSIS

    ICD-10-CM Code For Unspecified Pneumoconiosis: Group Overview

    J66-AIRWAY-DISEASE-DUE-TO-SPECIFIC-ORGANIC-DUST

    ICD-10-CM Code For Airway Disease Due To Specific Organic Dust: Group Overview

    J67-HYPERSENSITIVITY-PNEUMONITIS-DUE-TO-ORGANIC-DUST

    ICD-10-CM Code For Hypersensitivity Pneumonitis Due To Organic Dust: Group Overview

    J68-RESPIRATORY-CONDITIONS-DUE-TO-INHALATION

    ICD-10-CM Code For Respiratory Conditions Due To Inhalation Of Chemicals Gases Fumes And Vapors: Group Overview

    J69-PNEUMONITIS-DUE-TO-SOLIDS-AND-LIQUIDS

    ICD-10-CM Code For Pneumonitis Due To Solids And Liquids: Group Overview

    J70-RESPIRATORY-CONDITIONS-DUE-TO-OTHER-EXTERNAL-AGENTS

    ICD-10-CM Code For Respiratory Conditions Due To Other External Agents: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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