2020 ICD-10-CM Diagnosis Code J68

Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • J68 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Resp cond d/t inhalation of chemicals, gas, fumes and vapors
  • The 2020 edition of ICD-10-CM J68 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J68 - other international versions of ICD-10 J68 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify associated respiratory conditions, such as:
  • acute respiratory failure (
    ICD-10-CM Diagnosis Code J96.0

    Acute respiratory failure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    J96.0-
    )
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • (T51-T65
    ICD-10-CM Range T51-T65

    Toxic effects of substances chiefly nonmedicinal as to source

    Note
    • When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
    Type 1 Excludes
    • contact with and (suspected) exposure to toxic substances (Z77.-)
    Use Additional
    • code(s):
    • for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
    • personal history of foreign body fully removed (Z87.821)
    • to identify any retained foreign body, if applicable (Z18.-)
    • T51 Toxic effect of alcohol
    • T52 Toxic effect of organic solvents
    • T53 Toxic effect of halogen derivatives of a...
    • T54 Toxic effect of corrosive substances
    • T55 Toxic effect of soaps and detergents
    • T56 Toxic effect of metals
    • T57 Toxic effect of other inorganic substanc...
    • T58 Toxic effect of carbon monoxide
    • T59 Toxic effect of other gases, fumes and v...
    • T60 Toxic effect of pesticides
    • T61 Toxic effect of noxious substances eaten...
    • T62 Toxic effect of other noxious substances...
    • T63 Toxic effect of contact with venomous an...
    • T64 Toxic effect of aflatoxin and other myco...
    • T65 Toxic effect of other and unspecified su...
    ) to identify cause
The following code(s) above J68 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to J68:
  • J00-J99
    2020 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • smoke inhalation (T59.81-)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Use Additional
    • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Diseases of the respiratory system
  • J60-J70
    2020 ICD-10-CM Range J60-J70

    Lung diseases due to external agents

    Type 2 Excludes
    • asthma (J45.-)
    • malignant neoplasm of bronchus and lung (C34.-)
    Lung diseases due to external agents
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To J68
J67.0 Farmer's lung
J67.1 Bagassosis
J67.2 Bird fancier's lung
J67.3 Suberosis
J67.4 Maltworker's lung
J67.5 Mushroom-worker's lung
J67.6 Maple-bark-stripper's lung
J67.7 Air conditioner and humidifier lung
J67.8 Hypersensitivity pneumonitis due to other organic dusts
J67.9 Hypersensitivity pneumonitis due to unspecified organic dust
J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors
J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
J68.1 Pulmonary edema due to chemicals, gases, fumes and vapors
J68.2 Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified
J68.3 Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors
J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapors
J68.8 Other respiratory conditions due to chemicals, gases, fumes and vapors
J68.9 Unspecified respiratory condition due to chemicals, gases, fumes and vapors
J69 Pneumonitis due to solids and liquids
J69.0 Pneumonitis due to inhalation of food and vomit
J69.1 Pneumonitis due to inhalation of oils and essences

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.