J63.2

Billable

Berylliosis

HCC Category Mapping

V28HCC 280 — Chronic Obstructive Pulmonary Disease

0.334

V24HCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders

0.268

ESRDHCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders

0.000

What This Code Means

A serious lung disease caused by inhaling beryllium dust or fumes, which can cause acute or chronic inflammation and scarring of the lungs. Workers in aerospace, electronics, and metal recycling industries are at highest risk.

Coding Tips

•Document whether this is acute or chronic berylliosis, as severity and progression vary significantly
•Confirm beryllium exposure through occupational history; this is a reportable occupational disease in many jurisdictions

Clinical Significance

Berylliosis is a serious occupational lung disease that can present as acute chemical pneumonitis or progress to chronic granulomatous disease resembling sarcoidosis. It is highly relevant for risk adjustment because chronic berylliosis requires lifelong monitoring, immunosuppressive therapy, and carries significant morbidity including progressive pulmonary fibrosis and respiratory failure.

Documentation Requirements

✓Documented history of beryllium exposure (aerospace, electronics, nuclear, dental alloy, or metal recycling industries)
✓Beryllium lymphocyte proliferation test (BeLPT) results if available
✓Specification of acute versus chronic berylliosis
✓Chest imaging findings (granulomas, hilar lymphadenopathy, fibrosis)
✓Pulmonary function test results
✓Current treatment plan including any corticosteroid or immunosuppressive therapy

Commonly Confused Codes

D86.0 (Sarcoidosis of lung) — berylliosis mimics sarcoidosis histologically but requires documented beryllium exposure J63.0 (Aluminosis of lung) — different metal dust; berylliosis is specifically from beryllium J63.6 (Pneumoconiosis due to other specified inorganic dusts) — use J63.2 when beryllium is specifically identified J84.10 (Pulmonary fibrosis, unspecified) — code berylliosis specifically when the cause is known

Code Hierarchy

└J63Pneumoconiosis due to other inorganic dusts └J63.2Berylliosis

└J63.2Berylliosis