October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

J84 Other interstitial pulmonary diseases

All 24 codes in the J84 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

24

Can lead a claim

21

Cannot lead a claim

3

What CMS assigns to J84

21 of the 24 codes group to MMTA - Respiratory; 3 are assigned no clinical group. 5 of the 24 count toward the Bronchitis, Emphysema, and Interstitial Lung Disease comorbidity subgroup; 19 are assigned none. 21 of the 24 can lead a claim. CMS attaches a code-first note to 4 of the 24.

  • Bronchitis, Emphysema, and Interstitial Lung Disease: counts toward the high comorbidity tier only in an interaction pair.

Code first

CMS grouper convention 90, on J84.03. Code first:

  • disorders of iron metabolism (E83.1-)
  • underlying disease, such as:

CMS grouper convention 91, on J84.170. Code first:

  • lung diseases due to external agents (J60-J70)
  • rheumatoid arthritis (M05.00-M06.9)
  • sarcoidosis (D86.-)
  • systemic connective tissue disorders (M30-M36)
  • underlying disease, such as:

CMS grouper convention 92, on J84.178. Code first:

  • progressive systemic sclerosis (M34.0)
  • rheumatoid arthritis (M05.00-M06.9)
  • systemic lupus erythematosis (M32.0-M32.9)
  • underlying disease, such as:

CMS grouper convention 93, on J84.89. Code first:

  • , if applicable:
  • poisoning due to drug or toxin (T51-T65 with fifth or sixth character to indicate intent), for toxic pneumonopathy
  • underlying cause of pneumonopathy, if known

Every code in J84

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
J84.0 Alveolar and parieto-alveolar conditions
J84.01Alveolar proteinosisCan lead a claimLNone
J84.02Pulmonary alveolar microlithiasisCan lead a claimLNone
J84.03Idiopathic pulmonary hemosiderosisCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
J84.09Other alveolar and parieto-alveolar conditionsCan lead a claimLNone
J84.1 Other interstitial pulmonary diseases with fibrosis
J84.10Pulmonary fibrosis, unspecifiedCan lead a claimLBronchitis, Emphysema, and Interstitial Lung Disease
J84.11 Idiopathic interstitial pneumonia
J84.111Idiopathic interstitial pneumonia, not otherwise specifiedCan lead a claimLNone
J84.112Idiopathic pulmonary fibrosisCan lead a claimLBronchitis, Emphysema, and Interstitial Lung Disease
J84.113Idiopathic non-specific interstitial pneumonitisCan lead a claimLNone
J84.114Acute interstitial pneumonitisCan lead a claimLNone
J84.115Respiratory bronchiolitis interstitial lung diseaseCan lead a claimLNone
J84.116Cryptogenic organizing pneumoniaCan lead a claimLNone
J84.117Desquamative interstitial pneumoniaCan lead a claimLNone
J84.17 Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere
J84.170Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhereCMS: Interstit lung dis w progr fibrotic phenotype dis classd eCannot lead a claimManifestation code is not reportable as principal diagnosisNoneBronchitis, Emphysema, and Interstitial Lung Disease
J84.178Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhereCMS: Oth interstit pulmon dis with fibrosis in dis classd elswhrCannot lead a claimManifestation code is not reportable as principal diagnosisNoneBronchitis, Emphysema, and Interstitial Lung Disease
J84.2Lymphoid interstitial pneumoniaCan lead a claimLNone
J84.8 Other specified interstitial pulmonary diseases
J84.81LymphangioleiomyomatosisCan lead a claimLNone
J84.82Adult pulmonary Langerhans cell histiocytosisCan lead a claimLNone
J84.83Surfactant mutations of the lungCan lead a claimLNone
J84.84 Other interstitial lung diseases of childhood
J84.841Neuroendocrine cell hyperplasia of infancyCan lead a claimLNone
J84.842Pulmonary interstitial glycogenosisCan lead a claimLNone
J84.843Alveolar capillary dysplasia with vein misalignmentCan lead a claimLNone
J84.848Other interstitial lung diseases of childhoodCan lead a claimLNone
J84.89Other specified interstitial pulmonary diseasesCan lead a claim, code first appliesLBronchitis, Emphysema, and Interstitial Lung Disease
J84.9Interstitial pulmonary disease, unspecifiedCan lead a claimLNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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