ICD-10 Code J65 – Pneumoconiosis associated with tuberculosis (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code J65 – Pneumoconiosis associated with tuberculosis
What it is
J65 identifies pneumoconiosis that occurs together with tuberculosis. Use it when documentation shows a dust-related lung disease and TB are both present, rather than either condition alone.
Clinical signs
Clinical features vary; refer to documentation. Commonly, patients have chronic respiratory symptoms and imaging or clinical evidence of pneumoconiosis with active or prior tuberculosis noted.
When to use this code
Use J65 when the provider clearly links pneumoconiosis with tuberculosis in the same encounter or problem list. This code is appropriate when both diagnoses are documented and the relationship is explicit, or when the record states pneumoconiosis associated with TB.
If the chart mentions only pneumoconiosis, only tuberculosis, or an uncertain history of exposure, do not assume J65. Check documentation for the exact combined diagnosis before coding.
Do not use for
Do not use J65 for pneumoconiosis without tuberculosis, or for tuberculosis without pneumoconiosis. If the relationship is not documented, code the conditions separately only when supported by the record.
Coding tip
Look for wording that directly connects the dust disease and TB; if that link is missing, query or check documentation.