J69.1 ICD-10-CM Code: Pneumonitis due to inhalation of oils and essences
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 177 — RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC (MDC 04)
- MS-DRG 178 — RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC (MDC 04)
- MS-DRG 179 — RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC (MDC 04)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 282 — Aspiration and Specified Bacterial Pneumonias (supersedes HCC 283)
Other models: CMS-HCC V22 HCC 114
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for J69.1 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Exogenous lipoid pneumonia
- Lipid pneumonia NOS
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- endogenous lipoid pneumonia (J84.89)
- neonatal aspiration syndromes (P24.-)
- postprocedural pneumonitis (J95.4)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- asthma (J45.-)
- malignant neoplasm of bronchus and lung (C34.-)
Code First
Underlying conditions that must be sequenced before this code.
- (T51-T65) to identify substance
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.-)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to J69.1 in its code family, with their registry titles.
Indexed Clinical Terms (7)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved), aspiration, due to, oils, essences
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved), broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal), inhalation, of oils or essences
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved), broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal), lipid, lipoid
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved), lipid, lipoid (exogenous)
- Pneumonitis (acute) (primary), due to, inhalation, essences
- Pneumonitis (acute) (primary), due to, inhalation, oils, essences
- Pneumonitis (acute) (primary), due to, oils, essences