J69.0 Pneumonitis due to inhalation of food and vomit

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Aspiration pneumonia NOS
• Aspiration pneumonia (due to) food (regurgitated)
• Aspiration pneumonia (due to) gastric secretions
• Aspiration pneumonia (due to) milk
• Aspiration pneumonia (due to) vomit

Excludes1 (never code together)

• chemical pneumonitis due to anesthesia (J95.4)
• obstetric aspiration pneumonitis (O74.0)

Code also

• any associated foreign body in respiratory tract (T17.-)

Applies from J69 Pneumonitis due to solids and liquids

Applicable to

• Codes also, if applicable, other types of pneumonias

Excludes1 (never code together)

• neonatal aspiration syndromes (P24.-)
• postprocedural pneumonitis (J95.4)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 282 — Aspiration and Specified Bacterial Pneumonias
• CMS-HCC V22: HCC 114 — Aspiration and Specified Bacterial Pneumonias
• ESRD V24: HCC 114

MS-DRG index

Defines the logic of DRG(s) 177-179 in MDC 04.

Approximate ICD-9-CM (GEMs)

• 507.0 Pneumonitis due to inhalation of food or vomitus

Code annotations containing back-references to J69.0

Back-references to J69.0

• Type 2 Excludes: J12 Viral pneumonia, not elsewhere classified ("aspiration pneumonia NOS (J69.0)")
• Type 2 Excludes: J18 Pneumonia, unspecified organism ("aspiration pneumonia NOS (J69.0)")
• Code Also: R63.31 Pediatric feeding disorder, acute ("aspiration pneumonia (J69.0)")
• Code Also: R63.32 Pediatric feeding disorder, chronic ("aspiration pneumonia (J69.0)")

Back-references to J69

• Type 2 Excludes: J12 Viral pneumonia, not elsewhere classified ("aspiration pneumonia due to solids and liquids (J69.-)")
• Code Also: J13 Pneumonia due to Streptococcus pneumoniae ("aspiration pneumonia (J69.-)")
• Code Also: J14 Pneumonia due to Hemophilus influenzae ("aspiration pneumonia (J69.-)")
• Code Also: J15 Bacterial pneumonia, not elsewhere classified ("aspiration pneumonia (J69.-)")
• Code Also: J16 Pneumonia due to other infectious organisms, not elsewhere classified ("aspiration pneumonia (J69.-)")
• Code Also: J17 Pneumonia in diseases classified elsewhere ("aspiration pneumonia (J69.-)")
• Type 2 Excludes: J18 Pneumonia, unspecified organism ("aspiration pneumonia due to solids and liquids (J69.-)")
• Type 2 Excludes: J18 Pneumonia, unspecified organism ("pneumonitis due to external agents (J67-J70)")
• Code Also: J18 Pneumonia, unspecified organism ("aspiration pneumonia (J69.-)")
• Type 2 Excludes: J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation ("lung diseases due to external agents (J60-J70)")
• Type 2 Excludes: J44.9 Chronic obstructive pulmonary disease, unspecified ("lung diseases due to external agents (J60-J70)")
• Type 2 Excludes: J45.909 Unspecified asthma, uncomplicated ("lung diseases due to external agents (J60-J70)")
• Type 1 Excludes: J81 Pulmonary edema ("pulmonary edema due to external agents (J60-J70)")
• Type 2 Excludes: J84 Other interstitial pulmonary diseases ("lung diseases due to external agents (J60-J70)")
• Code First: J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere ("lung diseases due to external agents (J60-J70)")
• Type 2 Excludes: J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified ("aspiration pneumonia (J69.-)")
• Use Additional: J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified ("aspiration pneumonia (J69.-)")

Diagnosis Index entries for J69.0

• Aspiration › bronchitis
• Aspiration › pneumonia
• Aspiration › pneumonitis
• Bronchitis (diffuse) (fibrinous) (hypostatic) (infective) (membranous) › aspiration (due to food and vomit)
• Deglutition › pneumonia
• Injury › intrathoracic › lung › aspiration
• Injury › lung › aspiration
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › aspiration
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › aspiration › due to › food (regurgitated)
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › aspiration › due to › gastric secretions
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › aspiration › due to › milk (regurgitated)
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › aspiration › due to › vomitus
• Pneumonitis (acute) (primary) › aspiration
• Pneumonitis (acute) (primary) › due to › food, vomit (aspiration)
• Pneumonitis (acute) (primary) › due to › inhalation › food (regurgitated), milk, vomit
• Pneumonitis (acute) (primary) › due to › inhalation › saliva

Nearby codes

• J69 Pneumonitis due to solids and liquids
• J69.0 Pneumonitis due to inhalation of food and vomit (this code)
• J69.1 Pneumonitis due to inhalation of oils and essences
• J69.8 Pneumonitis due to inhalation of other solids and liquids