2026 ICD-10-CM Diagnosis Code J69.0Pneumonitis due to inhalation of food and vomit
ICD-10-CM Codes›J00–J99›J60-J70›J69
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- Risk Adjusts — HCC 282
- Not Chronic
J69.0 is a billable ICD-10-CM diagnosis code for pneumonitis due to inhalation of food and vomit. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 177 through 179, 791, 793. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 124 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Aspiration pneumonitis.
For Medicare Advantage risk adjustment, J69.0 maps to CMS-HCC Category 282 (Aspiration and Specified Bacterial Pneumonias) under the V28 model, adding a risk factor of about 0.440 for a community, non-dual, aged beneficiary in payment year 2026.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
J69.0 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2026.
Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute aspiration pneumonia
- Acute aspiration pneumonitis
- Aspirated gastric contents in lower respiratory tract
- Aspiration of gastric contents into respiratory tract
- Aspiration pneumonia
- Aspiration pneumonia caused by regurgitated food
- Aspiration pneumonia following procedure
- Aspiration pneumonia following surgical procedure
- Aspiration pneumonitis
- Aspiration pneumonitis caused by regurgitated food
- Aspiration pneumonitis caused by regurgitated gastric secretions
- Aspiration pneumonitis following procedure
- Aspiration pneumonitis following surgical procedure
- Aspiration syndrome in the adult
- Pneumonitis caused by inhalation of milk
- Pneumonitis caused by inhalation of regurgitated food
- Pneumonitis caused by inhalation of vomitus
- Pneumonitis due to inhaled liquid
- Postoperative lower respiratory tract infection
- Postoperative pneumonia
- Pulmonary aspiration
- Pulmonary aspiration of fluid
- Pulmonary aspiration of gastric contents
- Recurrent aspiration pneumonia
- Recurrent aspiration pneumonitis
- Recurrent lower respiratory tract infection
- Recurrent pneumonia
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Aspiration pneumonia NOS
- Aspiration pneumonia (due to) food (regurgitated)
- Aspiration pneumonia (due to) gastric secretions
- Aspiration pneumonia (due to) milk
- Aspiration pneumonia (due to) vomit
Code Also
- any associated foreign body in respiratory tract T17
Type 1 Excludes
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
bronchitis J69.0
pneumonia J69.0
pneumonitis J69.0
pneumonia J69.0
Injury See Also: specified injury type; T14.90
aspiration J69.0
lung See Also: Injury, intrathoracic, lung;
aspiration J69.0
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
aspiration J69.0
food (regurgitated) J69.0
gastric secretions J69.0
milk (regurgitated) J69.0
vomitus J69.0
Pneumonitis (acute) (primary) See Also: Pneumonia; J98.4
aspiration J69.0
food, vomit (aspiration) J69.0
saliva J69.0
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Pneumonia
Pneumonia is an infection in one or both of your lungs. It causes the air sacs of your lungs to fill up with fluid or pus. Pneumonia can range from mild to severe, depending on what caused it, your age, and your overall health.
The full article covers:
- What is pneumonia?
- What causes pneumonia?
- Who is more likely to develop pneumonia?
- What are the symptoms of pneumonia?
- What other problems can pneumonia cause?
- How is pneumonia diagnosed?
- What are the treatments for pneumonia?
- Can pneumonia be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert J69.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About J69.0Overview
What is the ICD-10 code for pneumonitis due to inhalation of food and vomit?
The ICD-10-CM code for pneumonitis due to inhalation of food and vomit is J69.0 (sometimes written as J690). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is J69.0 (Pneumonitis due to solids and liquids) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report pneumonitis due to inhalation of food and vomit on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does J69.0 group to?
When pneumonitis due to inhalation of food and vomit is the principal diagnosis on an inpatient stay, it groups to MS-DRG 177, 178, 179, 791, 793, with relative weights from 0.7550 to 4.1696 depending on complications. Higher weights mean higher Medicare reimbursement.
Is J69.0 a CC or MCC?
CMS lists J69.0 as an MCC (major complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 124 closely related codes in its exclusion list.
What is the ICD-9 equivalent of J69.0?
Under the General Equivalence Mappings, pneumonitis due to inhalation of food and vomit converts to ICD-9-CM 507.0 (food/vomit pneumonitis). The mapping is a direct match.
What HCC is J69.0?
J69.0 (pneumonitis due to inhalation of food and vomit) maps to CMS-HCC Category 282 (Aspiration and Specified Bacterial Pneumonias), commonly written as HCC 282, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2026. It mapped to HCC 114 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.
Does J69.0 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, J69.0 adds a risk adjustment factor of about 0.440 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.173 to 0.538 depending on the payment segment). HCC 282 sits at the top of its hierarchy, so no other condition category supersedes it. See the full factor table on the HCC 282 category page.
