B38 vs J67

B38 (Coccidioidomycosis) compared with J67 (Hypersensitivity pneumonitis due to organic dust), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. B38 carries an Excludes2 note covering J67: “hypersensitivity pneumonitis due to organic dust (J67.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	B38Coccidioidomycosis	J67Hypersensitivity pneumonitis due to organic dust
Billing status	Non-billable header Report instead: B38.0, B38.1, B38.2, B38.3, B38.4	Non-billable header Report instead: J67.0, J67.1, J67.2, J67.3, J67.4
Classification	A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)	J00-J99 — Diseases of the Respiratory System (J00-J99)
Definition	Coccidioidomycosis is a non-billable ICD-10-CM category code (B38).	Hypersensitivity pneumonitis due to organic dust is a non-billable ICD-10-CM category code (J67).
Includes	—	allergic alveolitis and pneumonitis due to inhaled organic dust and particles of fungal, actinomycetic or other origin

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources