2026 ICD-10-CM Diagnosis Code J65Pneumoconiosis associated with tuberculosis

ICD-10-CM Codes›J00–J99›J60-J70›J65

ICD-10-CM J65
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

J65 is a billable ICD-10-CM diagnosis code for pneumoconiosis associated with tuberculosis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 196 through 198. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Lung disease due to external agents and Tuberculosis.

Code Identity

ICD-10-CM Code
J65
Billable Status
Yes — Valid for Submission
Code Describes
Pneumoconiosis associated with tuberculosis
Chapter
J60-J70
Lung diseases due to external agents

Code Classification

ChapterJ00–J99Diseases of the respiratory system
SectionJ60-J70Lung diseases due to external agents
CategoryJ65Pneumoconiosis associated with tuberculosis
This CodeJ65Pneumoconiosis associated with tuberculosis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Pneumoconiosis associated with tuberculosis
  • Pneumoconiosis caused by silica
  • Silicotuberculosis

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Any condition in J60 J64 A15
  • Silicotuberculosis

Use Additional Code

  • code, if applicable, for associated cachexia E88.A

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Pneumoconiosis(due to) (inhalation of)
      • with tuberculosis (any type in A15)
    • Silicosis, silicotic(simple) (complicated)
      • with tuberculosis
    • Silicotuberculosis
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • with pneumoconiosis (any condition in J60-J64)
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • collier's
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • grinder's
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • millstone makers'
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • miner's
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • molder's
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • potter's
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • sandblaster's
    • Tuberculosis, tubercular, tuberculous(calcification) (calcified) (caseous) (chromogenic acid-fast bacilli) (degeneration) (fibrocaseous) (fistula) (interstitial) (isolated circumscribed lesions) (necrosis) (parenchymatous) (ulcerative)
      • stonemason's

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR RSP013
Lung disease due to external agents
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR INF001
Tuberculosis
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Silicotuberculosis

    pulmonary or extrapulmonary infection caused by mycobacterium tuberculosis or nontuberculous mycobacteria in a patient with silicosis.

  • Mycobacterium tuberculosis

    a species of gram-positive, aerobic bacteria that produces tuberculosis in humans, other primates, cattle; dogs; and some other animals which have contact with humans. growth tends to be in serpentine, cordlike masses in which the bacilli show a parallel orientation.

Patient EducationClinical

Interstitial Lung Diseases

Interstitial lung disease is the name for a large group of diseases that inflame or scar the lungs. The inflammation and scarring make it hard to get enough oxygen. The scarring is called pulmonary fibrosis.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert J65 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
505 Pneumoconiosis NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About J65Overview

Is J65 (Pneumoconiosis associated with tuberculosis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pneumoconiosis associated with tuberculosis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does J65 group to?

When pneumoconiosis associated with tuberculosis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 196, 197, 198, with relative weights from 0.7162 to 1.8872 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of J65?

Under the General Equivalence Mappings, pneumoconiosis associated with tuberculosis converts to ICD-9-CM 505 (pneumoconiosis NOS). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.