2027 ICD-10-CM Diagnosis Code J70.9Respiratory conditions due to unspecified external agent

ICD-10-CM Codes›J00–J99›J60-J70›J70

ICD-10-CM J70.9
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

J70.9 is a billable ICD-10-CM diagnosis code for respiratory conditions due to unspecified external agent. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 205 through 206. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Lung disease due to external agents.

J70.9 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 112 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 112, ESRD (V21) category 112, and ESRD (V24) category 112 for payment year 2027.

Code Identity

ICD-10-CM Code
J70.9
Billable Status
Yes — Valid for Submission
Code Describes
Respiratory conditions due to unspecified external agent
Short Description
Respiratory conditions due to unspecified external agent
Same as the full description in the CMS dataset.
Parent Code
Respiratory conditions due to other external agents

Code Classification

ChapterJ00–J99Diseases of the respiratory system
SectionJ60-J70Lung diseases due to external agents
CategoryJ70Respiratory conditions due to other external agents
This CodeJ70.9Respiratory conditions due to unspecified external agent

Medicare Risk Adjustment (HCC)Billing

J70.9 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 112
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 112 · ESRD (V21): HCC 112 · ESRD (V24): HCC 112
ESRD V21 weights: 0.066 dialysis, 0.281–0.299 functioning graft · ESRD V24 weights: 0.058 dialysis, 0.080–0.256 functioning graft
Part D (RxHCC)
Not mapped
J70.9 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 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 toxic tracheobronchitis
  • Acute tracheitis
  • Acute tracheobronchitis
  • Environmental lung disease
  • Interruption of respiration caused by foreign body in esophagus
  • Lung disease due to external agents
  • Millers' asthma
  • Pulmonary aspiration
  • Respiratory compression due to foreign body in esophagus
  • Respiratory disorder caused by drug
  • Respiratory obstruction due to foreign body in esophagus
  • Silo-fillers' disease
  • Toxic pulmonary edema
  • Weavers' cough

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to J70.9: its own notes plus those printed at block J60-J70 and Chapter 10. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block J60-J70 Lung diseases due to external agents applies to 45 codes
  • asthma (J45.-)
  • malignant neoplasm of bronchus and lung (C34.-)
From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • 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)

Code First

The underlying condition named in the note is sequenced before this code.

  • (T51-T65) to identify the external agent

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • 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)

Notes

General instructions on how these codes are used.

From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • 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).

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name J70.9, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming J70.9: they are not reported together with it, unless the two conditions are unrelated.

  • J81 Pulmonary edema
    pulmonary edema due to external agents (J60-J70) names J60-J70, which includes this code

Excludes2 5

These codes carry an Excludes2 note naming J70.9: its condition is not part of those codes, and both may be reported when the patient has both.

  • J18 Pneumonia, unspecified organism
    pneumonitis due to external agents (J67-J70) names J67-J70, which includes this code
  • J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
    lung diseases due to external agents (J60-J70) names J60-J70, which includes this code
  • J44.9 Chronic obstructive pulmonary disease, unspecified
    lung diseases due to external agents (J60-J70) names J60-J70, which includes this code
  • J45.909 Unspecified asthma, uncomplicated
    lung diseases due to external agents (J60-J70) names J60-J70, which includes this code
  • J84 Other interstitial pulmonary diseases
    lung diseases due to external agents (J60-J70) names J60-J70, which includes this code

Code First 1

These codes say to code first a condition named in the note, and J70.9 is one of the conditions named.

  • J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere
    lung diseases due to external agents (J60-J70) names J60-J70, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and J70.9 is one of the codes named.

  • Block T51-T65 Toxic effects of substances chiefly nonmedicinal as to source
    for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70) names J60-J70, which includes this code

Index to Diseases and InjuriesGuidance

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

Patient EducationClinical

Lung Diseases

When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease.

Read the full article at MedlinePlus

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

Convert J70.9 to ICD-9-CMHistory

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

ICD-9-CM
508.9 Resp cond: ext agent NOS
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About J70.9Overview

What is the ICD-10 code for respiratory conditions due to unspecified external agent?

The ICD-10-CM code for respiratory conditions due to unspecified external agent is J70.9 (sometimes written as J709). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is J70.9 (Respiratory conditions due to other external agents) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report respiratory conditions due to unspecified external agent on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does J70.9 group to?

When respiratory conditions due to unspecified external agent is the principal diagnosis on an inpatient stay, it groups to MS-DRG 206, 205, with relative weights from 0.9255 to 1.8244 depending on complications. Higher weights mean higher Medicare reimbursement.

What is coded first with J70.9?

The Code First note reads: (T51-T65) to identify the external agent. When one of these applies, it is sequenced before J70.9.

What is the ICD-9 equivalent of J70.9?

Under the General Equivalence Mappings, respiratory conditions due to unspecified external agent converts to ICD-9-CM 508.9 (resp cond: ext agent NOS). The mapping is a direct match.

Does J70.9 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. J70.9 mapped to HCC 112 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 112 (Fibrosis of Lung and Other Chronic Lung Disorders), ESRD (V21) category 112 (Fibrosis of Lung and Other Chronic Lung Disorders), and ESRD (V24) category 112 (Fibrosis of Lung and Other Chronic Lung Disorders).