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J60 vs J81

J60 (Coalworker's pneumoconiosis) compared with J81 (Pulmonary edema), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. J81 carries an Excludes1 note covering J60: “pulmonary edema due to external agents (J60-J70)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

J60Coalworker's pneumoconiosisJ81Pulmonary edema
Billing statusBillableNon-billable header

Report instead: J81.0, J81.1

ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionCoalworker's pneumoconiosis is a billable ICD-10-CM diagnosis code (J60).Pulmonary edema is a non-billable ICD-10-CM category code (J81).
Includes
Anthracosilicosis
Anthracosis
Black lung disease
Coalworker's lung
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)

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