2026 ICD-10-CM Diagnosis Code J69.1Pneumonitis due to inhalation of oils and essences
ICD-10-CM Codes›J00–J99›J60-J70›J69
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- Risk Adjusts — HCC 282
- Not Chronic
J69.1 is a billable ICD-10-CM diagnosis code for pneumonitis due to inhalation of oils and essences. 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. 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 125 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Aspiration pneumonitis and Lung disease due to external agents.
For Medicare Advantage risk adjustment, J69.1 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
J69.1 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 exogenous lipoid pneumonitis
- Cholesterol pneumonitis
- Chronic chemical respiratory disease
- Chronic exogenous lipoid pneumonitis
- Disorder due to vaping
- Endogenous lipoid pneumonitis
- Exogenous lipoid pneumonitis
- Lipoid pneumonitis
- Lipoid pneumonitis due to vaping
- Pneumonitis caused by inhalation of essence
- Pneumonitis caused by inhalation of oil
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Exogenous lipoid pneumonia
- Lipid pneumonia NOS
Code First
Type 1 Excludes
- endogenous lipoid pneumonia J84.89
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.
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.
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.
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
oils, essences J69.1
broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) J18.0
inhalation See Also: Pneumonia, aspiration;
of oils or essences J69.1
lipid, lipoid J69.1
Pneumonitis (acute) (primary) See Also: Pneumonia; J98.4
essences J69.1
oils, essences J69.1
oils, essences J69.1
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 J69.1 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About J69.1Overview
What is the ICD-10 code for pneumonitis due to inhalation of oils and essences?
The ICD-10-CM code for pneumonitis due to inhalation of oils and essences is J69.1 (sometimes written as J691). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is J69.1 (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 oils and essences on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does J69.1 group to?
When pneumonitis due to inhalation of oils and essences is the principal diagnosis on an inpatient stay, it groups to MS-DRG 177, 178, 179, with relative weights from 0.7550 to 1.5627 depending on complications. Higher weights mean higher Medicare reimbursement.
Is J69.1 a CC or MCC?
CMS lists J69.1 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 125 closely related codes in its exclusion list.
What is the ICD-9 equivalent of J69.1?
Under the General Equivalence Mappings, pneumonitis due to inhalation of oils and essences converts to ICD-9-CM 507.1 (oil/essence pneumonitis). The mapping is a direct match.
What HCC is J69.1?
J69.1 (pneumonitis due to inhalation of oils and essences) 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 J69.1 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, J69.1 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.
