2023 ICD-10-CM Diagnosis Code J70.4

Drug-induced interstitial lung disorders, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • J70.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM J70.4 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of J70.4 - other international versions of ICD-10 J70.4 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 for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7)
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76)
    • contact dermatitis (L23-L25)
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • immunodeficiency due to drugs (D84.821)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J70.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • interstitial pneumonia NOS (
    ICD-10-CM Diagnosis Code J84.9

    Interstitial pulmonary disease, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Interstitial pneumonia NOS
    J84.9
    )
  • lymphoid interstitial pneumonia (
    ICD-10-CM Diagnosis Code J84.2

    Lymphoid interstitial pneumonia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Lymphoid interstitial pneumonitis
    J84.2
    )
The following code(s) above J70.4 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 J70.4:
  • J00-J99
    2023 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
    2023 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
ICD-10-CM J70.4 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 205 Other respiratory system diagnoses with mcc
  • 206 Other respiratory system diagnoses without mcc

Convert J70.4 to ICD-9-CM

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
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to J70.4:
  • Type 1 Excludes: J18
    , J84
    ICD-10-CM Diagnosis Code J18

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    Type 1 Excludes
    • abscess of lung with pneumonia (J85.1)
    • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
    • aspiration pneumonia due to anesthesia during pregnancy (O29)
    • aspiration pneumonia due to anesthesia during puerperium (O89.0)
    • aspiration pneumonia due to solids and liquids (J69.-)
    • aspiration pneumonia NOS (J69.0)
    • congenital pneumonia (P23.0)
    • drug-induced interstitial lung disorder (J70.2-J70.4)
    • interstitial pneumonia NOS (J84.9)
    • lipid pneumonia (J69.1)
    • neonatal aspiration pneumonia (P24.-)
    • pneumonitis due to external agents (J67-J70)
    • pneumonitis due to fumes and vapors (J68.0)
    • usual interstitial pneumonia (J84.178)
    ICD-10-CM Diagnosis Code J84

    Other interstitial pulmonary diseases

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • drug-induced interstitial lung disorders (J70.2-J70.4)
    • interstitial emphysema (J98.2)
    Type 2 Excludes
    • lung diseases due to external agents (J60-J70)
  • Type 2 Excludes: J82
    ICD-10-CM Diagnosis Code J82

    Pulmonary eosinophilia, not elsewhere classified

      2016 2017 2018 2019 2020 2021 - Converted to Parent Code 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • pulmonary eosinophilia due to aspergillosis (B44.-)
    • pulmonary eosinophilia due to drugs (J70.2-J70.4)
    • pulmonary eosinophilia due to specified parasitic infection (B50-B83)
    • pulmonary eosinophilia due to systemic connective tissue disorders (M30-M36)
    • pulmonary infiltrate NOS (R91.8)
  • Use Additional: U07.0
    ICD-10-CM Diagnosis Code U07.0

    Vaping-related disorder

      2021 - New Code 2022 2023 Billable/Specific Code
    Applicable To
    • Dabbing related lung damage
    • Dabbing related lung injury
    • E-cigarette, or vaping, product use associated lung injury [EVALI]
    • Electronic cigarette related lung damage
    • Electronic cigarette related lung injury
    Use Additional
    • code to identify manifestations, such as:
    • abdominal pain (R10.84)
    • acute respiratory distress syndrome (J80)
    • diarrhea (R19.7)
    • drug-induced interstitial lung disorder (J70.4)
    • lipoid pneumonia (J69.1)
    • weight loss (R63.4)

Diagnosis Index entries containing back-references to J70.4:

ICD-10-CM Codes Adjacent To J70.4
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
J69.8 Pneumonitis due to inhalation of other solids and liquids
J70 Respiratory conditions due to other external agents
J70.0 Acute pulmonary manifestations due to radiation
J70.1 Chronic and other pulmonary manifestations due to radiation
J70.2 Acute drug-induced interstitial lung disorders
J70.3 Chronic drug-induced interstitial lung disorders
J70.4 Drug-induced interstitial lung disorders, unspecified
J70.5 Respiratory conditions due to smoke inhalation
J70.8 Respiratory conditions due to other specified external agents
J70.9 Respiratory conditions due to unspecified external agent
J80 Acute respiratory distress syndrome
J81 Pulmonary edema
J81.0 Acute pulmonary edema
J81.1 Chronic pulmonary edema
J82 Pulmonary eosinophilia, not elsewhere classified
J82.8 Pulmonary eosinophilia, not elsewhere classified
J82.81 Chronic eosinophilic pneumonia

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