J65
BillablePneumoconiosis associated with tuberculosis
HCC Category Mapping
V28HCC 280 — Chronic Obstructive Pulmonary Disease
0.334V24HCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders
0.268ESRDHCC 112 — Fibrosis of Lung and Other Chronic Lung Disorders
0.000What This Code Means
A condition where pneumoconiosis (lung scarring from dust inhalation) occurs together with tuberculosis infection. This combination typically results in more severe lung damage than either condition alone.
Coding Tips
- •Require documentation of both pneumoconiosis and active or history of tuberculosis to assign this code
- •Code the specific type of pneumoconiosis (J63.x) in addition to J65 for complete clinical picture
Clinical Significance
Pneumoconiosis associated with tuberculosis represents a dual-pathology condition where occupational dust disease coexists with tuberculous infection, creating a synergistic and more severe lung disease. This combination significantly increases morbidity, treatment complexity, and healthcare resource utilization, making it highly relevant for risk adjustment.
Documentation Requirements
- ✓Documentation of both pneumoconiosis and tuberculosis (active or history of)
- ✓Type of pneumoconiosis if identifiable (silicosis + TB is the most common combination)
- ✓Tuberculosis status — active, latent, or resolved with scarring
- ✓TB culture or molecular testing results
- ✓Chest imaging showing both pneumoconiotic and tuberculous changes
- ✓Current treatment regimen for both conditions
- ✓Occupational exposure history
Use Additional Code
- code, if applicable, for associated cachexia (E88.A)
Commonly Confused Codes
A15.0 (Tuberculosis of lung) — use when TB exists without concurrent pneumoconiosisJ64 (Unspecified pneumoconiosis) — use when pneumoconiosis exists without TBJ62.8 (Pneumoconiosis due to dust containing silica) — silicosis alone without TB; silicotuberculosis should use J65B90.9 (Sequelae of respiratory and unspecified tuberculosis) — use for TB sequelae without concurrent active pneumoconiosis
Code Hierarchy
└J65Pneumoconiosis associated with tuberculosis
└J65Pneumoconiosis associated with tuberculosis