J69.1 Pneumonitis due to inhalation of oils and essences

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

Applicable to

• Exogenous lipoid pneumonia
• Lipid pneumonia NOS

Excludes1 (never code together)

• endogenous lipoid pneumonia (J84.89)

Code first

• (T51-T65) to identify substance

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)

• 507.1 Pneumonitis due to inhalation of oils and essences

Code annotations containing back-references to J69.1

Back-references to J69.1

• Type 2 Excludes: J12 Viral pneumonia, not elsewhere classified ("lipid pneumonia (J69.1)")
• Type 2 Excludes: J18 Pneumonia, unspecified organism ("lipid pneumonia (J69.1)")
• Type 1 Excludes: J18.0 Bronchopneumonia, unspecified organism ("lipid pneumonia (J69.1)")
• Type 1 Excludes: J84.8 Other specified interstitial pulmonary diseases ("exogenous lipoid pneumonia (J69.1)")
• Type 1 Excludes: J84.8 Other specified interstitial pulmonary diseases ("unspecified lipoid pneumonia (J69.1)")
• Type 1 Excludes: J84.89 Other specified interstitial pulmonary diseases ("lipoid pneumonia, exogenous or unspecified (J69.1)")
• Use Additional: U07.0 Vaping-related disorder ("lipoid pneumonia (J69.1)")

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 J69.1

• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › aspiration › due to › oils, essences
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) › inhalation › of oils or essences
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) › lipid, lipoid
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › lipid, lipoid (exogenous)
• Pneumonitis (acute) (primary) › due to › inhalation › essences
• Pneumonitis (acute) (primary) › due to › inhalation › oils, essences
• Pneumonitis (acute) (primary) › due to › oils, essences

Nearby codes

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