J84.116 — Cryptogenic organizing pneumonia
Is J84.116 billable?
Yes — J84.116 is billable for FY2027. J84.116 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J84.116 may be submitted for encounters from October 1, 2026 through September 30, 2027.
J84.116 at a glance
| Code | J84.116 |
|---|---|
| Description | Cryptogenic organizing pneumonia |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does J84.116 group to?
J84.116 sits in MDC 04 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 196Interstitial Lung Disease with MCCmedical
- 197Interstitial Lung Disease with CCmedical
- 198Interstitial Lung Disease without CC/MCCmedical
As a secondary diagnosis, J84.116 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is J84.116 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to J84.116. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pneumonia › cryptogenic organizing (acute) (double) (migratory) (purulent) (septic) (unresolved)
Excludes1 — never code together
The conditions below can never be reported together with J84.116 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- organizing pneumonia NOS, or due to known underlying cause (J84.89)
Excludes1 — never code together — inherited from J84
The conditions below can never be reported together with J84.116 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from J84.1
The conditions below can never be reported together with J84.116 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- pulmonary fibrosis (chronic) following radiation (J70.1)
Excludes1 — never code together — inherited from J84.11
The conditions below can never be reported together with J84.116 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 10
Report an additional code alongside J84.116 to fully describe the condition. J84.116 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J84.116, but a patient may have both at the same time. When documentation supports it, J84.116 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from J84
The conditions below are not part of J84.116, but a patient may have both at the same time. When documentation supports it, J84.116 and the excluded code may both be reported.
- lung diseases due to external agents (J60-J70)
Code also — inherited from J84
Two codes may be needed to describe the condition fully. Whether J84.116 is sequenced first depends on the reason for the encounter.
- , if applicable, associated condition
Code also — inherited from J84.1
Two codes may be needed to describe the condition fully. Whether J84.116 is sequenced first depends on the reason for the encounter.
- , if applicable, pulmonary fibrosis (chronic) due to inhalation of chemicals, gases, fumes or vapors (J68.4)
How long has J84.116 existed?
J84.116 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.