J84.116Cryptogenic organizing pneumonia

J84.116 is the ICD-10-CM diagnosis code for Cryptogenic organizing pneumonia. It belongs to category J84 (other interstitial pulmonary diseases), block J80-J84 (other respiratory diseases principally affecting the interstitium) and chapter 10 (diseases of the respiratory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within J84.11 (idiopathic interstitial pneumonia), J84.116 is specifically for Cryptogenic organizing pneumonia. Related codes cover not otherwise specified (J84.111), idiopathic pulmonary fibrosis (J84.112), idiopathic non-specific interstitial pneumonitis (J84.113), acute interstitial pneumonitis (J84.114), respiratory bronchiolitis interstitial lung disease (J84.115) and Desquamative interstitial pneumonia (J84.117).

Don't report J84.116 together with the conditions in its Excludes1 note: organizing pneumonia NOS, or due to known underlying cause (J84.89).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 196 (Interstitial Lung Disease with MCC, relative weight 1.8336), DRG 197 (Interstitial Lung Disease with CC, relative weight 0.9492) and DRG 198 (Interstitial Lung Disease without CC/MCC, relative weight 0.7259), in MDC 04 (Diseases and Disorders of the Respiratory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 516.36 (Cryptogenic organizing pneumonia).