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HCC Buddy
HCC Buddy
Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Unspecified pneumoconiosis

See Tabular List: J64

J64, Unspecified pneumoconiosis

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes

J64

Unspecified pneumoconiosis

Open the shareable code page for J64→
billableHCC mapped

Includes

official source

Not listed for this effective period.

Excludes 1

official source
  • pneumonoconiosis with tuberculosis, any type in A15 (J65)

Excludes 2

official source

No Excludes 2 note is listed in this source payload.

Code First

official source

Not listed for this effective period.

Use Additional

official source

Not listed for this effective period.

Code Also

official source

Not listed for this effective period.

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy
HCC Buddy
Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Unspecified pneumoconiosis

See Tabular List: J64

J64, Unspecified pneumoconiosis

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes

J64

Unspecified pneumoconiosis

Open the shareable code page for J64→
billableHCC mapped

Includes

official source

Not listed for this effective period.

Excludes 1

official source
  • pneumonoconiosis with tuberculosis, any type in A15 (J65)

Excludes 2

official source

No Excludes 2 note is listed in this source payload.

Code First

official source

Not listed for this effective period.

Use Additional

official source

Not listed for this effective period.

Code Also

official source

Not listed for this effective period.

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy Insights

HCC Mapping

HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders (V28)HCC 112 Fibrosis of Lung and Other Chronic Lung Disorders (V24)RxHCC source requiredHCC 112 Fibrosis of Lung and Other Chronic Lung Disorders (ESRD/PACE)HCC 162 HHS-HCC 162; HHS-HCC 2026 benefit year (HHS-HCC)

RAF Value

V28: RAF: 0.319V24: RAF: 0.219RxHCC RAF source requiredESRD/PACE: RAF: 0.058HHS-HCC: RAF: Varies by metal level

Model Period

FY2026 Apr update

Source

source required

Audit Caution

Close codes need documentation support before selection. Do not assume relationships.
Reviewed by the HCC Buddy Coding Team

HCC Buddy workflow band

HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.

MEAT supportaudit cautionsource required

V28

HCC 280

Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders

RAF: 0.319

V24

HCC 112

Fibrosis of Lung and Other Chronic Lung Disorders

RAF: 0.219

ESRD/PACE

HCC 112

Fibrosis of Lung and Other Chronic Lung Disorders

RAF: 0.058

HHS-HCC

HCC 162

HHS-HCC 162; HHS-HCC 2026 benefit year

RAF: Varies by metal level

MEAT checklist

Reviewed by the HCC Buddy Coding Team

Monitor, Evaluate, Assess, or Treat must be supported in the provider note.

HCC Buddy guidance, not official ICD-10-CM text.

Audit caution

Reviewed by the HCC Buddy Coding Team

Close codes need documentation support before selection. Do not assume relationships.

HCC Buddy guidance, not official ICD-10-CM text.

Reviewer sign-off

Reviewed by the HCC Buddy Coding Team

MEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.

HCC Buddy enrichment is separate from official source text.

Last updated: April 1, 2026 · Not a substitute for official coding guidelines. No PHI or patient data.
HCC Buddy Code Card
FY 2026 Apr update
J64Billable

Unspecified pneumoconiosis

CMS-HCC V28

HCC 280

RAF 0.319

CMS-HCC V24

HCC 112

RAF 0.219

ESRD/PACE

HCC 112

RAF 0.058

Reviewed by the HCC Buddy Coding TeamFY2026 Apr update

Code

J64

V28 HCC

HCC 280

RAF

0.319

Compare tray

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