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J69 ICD-10-CM Code: Pneumonitis due to solids and liquids

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

Tabular directives
2 Excludes1 · 2 Excludes2 · 3 code-also instructions

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for J69 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on J69 itself; “inherited from” names the category or block whose note applies here.

This page already reflects the FY2027 tabular notes taking effect October 1, 2026.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from J60-J70

Code Also

Additional codes that may be required to fully describe the encounter.

  • Code also, if applicable, other types of pneumonias, such as:
  • bacterial pneumonia (J13-J15.-)
  • viral pneumonia (J12.-)

Coder workflow for J69

MedCoder structured workflow — derived from this code’s own official record

Before you code J69

  1. J69 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewJ69.0, J69.1, J69.8

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. J69’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with J69. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support one of the more specific codes beneath J69?
    Yes → Select that code and continue the checks below on its own page.
    No → J69 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewJ69.0, J69.1, J69.8

  2. Does the documentation support a condition named in J69’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewP24, J95.4

Consider J69. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes1 — check before selecting J69(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with J69: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareP24, J95.4

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of J69(2 notes)

    Coding workflow: The conditions named in this note are not included in J69. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareJ45, C34

    See the official tabular notes · Guidelines I.A.12.b

  • Code Also — related condition(3 notes)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    ReviewJ12

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition J69 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewP24, J95.4

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is J69 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Pneumonitis due to solids and liquids is a non-billable ICD-10-CM category code (J69). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 3 Code Also notes — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
  2. 2 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 2 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • Not billable as written — a more specific code is required: J69.0, J69.1, J69.8.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name J69 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: J81 — Pulmonary edema.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 16 Excludes2 notes: J09 — Influenza due to certain identified influenza viruses, J09-J18 — Influenza and pneumonia (J09-J18), J10 — Influenza due to other identified influenza virus, J11 — Influenza due to unidentified influenza virus, J12 — Viral pneumonia, not elsewhere classified, J13 — Pneumonia due to Streptococcus pneumoniae, J14 — Pneumonia due to Hemophilus influenzae, J15 — Bacterial pneumonia, not elsewhere classified, J16 — Pneumonia due to other infectious organisms, not elsewhere classified, J17 — Pneumonia in diseases classified elsewhere, J18 — Pneumonia, unspecified organism, J44.1 — Chronic obstructive pulmonary disease with (acute) exacerbation, J44.9 — Chronic obstructive pulmonary disease, unspecified, J45.909 — Unspecified asthma, uncomplicated, J84 — Other interstitial pulmonary diseases, J95 — Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Code First instruction: J84.170 — Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere.

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Referenced by 17 Use Additional Code instructions across 2 chapters: J95.89 — Other postprocedural complications and disorders of respiratory system, not elsewhere classified, T51 — Toxic effect of alcohol, T51-T65 — Toxic effects of substances chiefly nonmedicinal as to source (T51-T65), T52 — Toxic effect of organic solvents, T53 — Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons, T54 — Toxic effect of corrosive substances, T55 — Toxic effect of soaps and detergents, T56 — Toxic effect of metals, T57 — Toxic effect of other inorganic substances, T58 — Toxic effect of carbon monoxide, T59 — Toxic effect of other gases, fumes and vapors, T60 — Toxic effect of pesticides, T61 — Toxic effect of noxious substances eaten as seafood, T62 — Toxic effect of other noxious substances eaten as food, T63 — Toxic effect of contact with venomous animals and plants, T64 — Toxic effect of aflatoxin and other mycotoxin food contaminants, T65 — Toxic effect of other and unspecified substances.

These codes instruct coders to additionally report this code when it applies.

Referenced by 6 Code Also instructions: J13 — Pneumonia due to Streptococcus pneumoniae, J14 — Pneumonia due to Hemophilus influenzae, J15 — Bacterial pneumonia, not elsewhere classified, J16 — Pneumonia due to other infectious organisms, not elsewhere classified, J17 — Pneumonia in diseases classified elsewhere, J18 — Pneumonia, unspecified organism.

These codes suggest coding this condition alongside when both are present.

Contextual Map

Every relationship of J69 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run J69 with these 24 related codes in Claim Check

Hierarchy

Excludes1

Excludes2

Code Also

Referenced by Excludes1 notes

  • J81 — Pulmonary edema[Excludes1]: “pulmonary edema due to external agents (J60-J70)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Excludes2 notes (16)

Referenced by Code First instructions

Referenced by Use Additional Code instructions (17)

Referenced by Code Also instructions

Nearest codes

Change history (5)

Common coding questions

Can J69 be billed directly?

No. J69 (Pneumonitis due to solids and liquids) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "J69 — Pneumonitis due to solids and liquids." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/j69-pneumonitis-due-to-solids-and-liquids

Change history

  • Upcoming · effective FY2027 — October 1, 2026
    Code Also note will be added
    bacterial pneumonia (J13-J15.-)
    FY2027 changes
  • Upcoming · effective FY2027 — October 1, 2026
    Code Also note will be added
    , if applicable, other types of pneumonias, such as:
    FY2027 changes
  • Upcoming · effective FY2027 — October 1, 2026
    Code Also note will be added
    viral pneumonia (J12.-)
    FY2027 changes
  • Upcoming · effective FY2027 — October 1, 2026
    Inclusion term note will be removed
    Codes also, if applicable, other types of pneumonias
    FY2027 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Pneumonitis due to solids and liquids

Nearest Codes in This Family

Official ICD-10-CM classifications closest to J69 in its code family, with their registry titles.