J67.8
BillableHypersensitivity pneumonitis due to other organic dusts
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
An allergic lung disease caused by inhaling various organic dusts not covered by the more specific bagassosis, bird fancier's lung, or other named conditions.
Coding Tips
- •Use this code when the specific organic dust exposure is documented but doesn't fit other J67 codes
- •Document the specific organic dust exposure in the medical record for clarity
Clinical Significance
This code captures hypersensitivity pneumonitis from identified organic dusts that do not have their own specific code, such as cheese worker's lung, hot tub lung, or detergent worker's disease. It is important for risk adjustment as it captures documented occupational or environmental lung disease with a known but uncommon organic dust trigger.
Documentation Requirements
- ✓Identification and documentation of the specific organic dust causing the hypersensitivity pneumonitis
- ✓Explanation of why a more specific J67.0-J67.7 code does not apply
- ✓Exposure history (occupational, environmental, or hobbyist)
- ✓Chest imaging and pulmonary function test results
- ✓Classification as acute, subacute, or chronic
- ✓Treatment plan including avoidance measures
Commonly Confused Codes
J67.0-J67.7 — always check these specific codes first before using J67.8J67.9 (Hypersensitivity pneumonitis due to unspecified organic dust) — J67.8 is for specified but uncommon dusts, J67.9 is when the dust type is unknownJ66.8 (Airway disease due to other specific organic dusts) — different mechanism; airway disease vs. interstitial/alveolar diseaseJ84.89 (Other specified interstitial pulmonary diseases) — use J67.8 when organic dust exposure is the documented cause
Code Hierarchy
└J67Hypersensitivity pneumonitis due to organic dust└J67.8Hypersensitivity pneumonitis due to other organic dusts
└J67.8Hypersensitivity pneumonitis due to other organic dusts