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2025 ICD-10-CM code J60

Coalworker's pneumoconiosis, also known as black lung disease, is a lung disease caused by inhaling coal dust.

Use additional codes to specify any complications or associated conditions, such as chronic bronchitis (J41.-) or emphysema (J43.-).

Medical necessity for treatment is established by the presence of symptoms, impaired lung function, and a confirmed diagnosis of coalworker's pneumoconiosis related to coal dust exposure.

Physicians, particularly pulmonologists and occupational health specialists, are responsible for diagnosing and managing coalworker's pneumoconiosis.

In simple words: Black lung disease is a lung condition caused by breathing in coal dust.

Coalworker's pneumoconiosis is caused by the inhalation of coal dust, leading to inflammation and fibrosis (scarring) within the lungs. Symptoms may include coughing, shortness of breath, and chest tightness.

Example 1: A 60-year-old coal miner with a 30-year history of exposure presents with progressive shortness of breath and a chronic cough., A 55-year-old former coal miner, who quit working in the mines 10 years ago, experiences worsening cough and difficulty breathing, especially during physical activity., A chest X-ray of a 65-year-old coal miner reveals small, rounded opacities consistent with coalworker's pneumoconiosis, despite the patient being asymptomatic.

Documentation should include occupational history, duration and intensity of coal dust exposure, physical exam findings, pulmonary function tests, and imaging studies (chest X-ray, CT scan).

** Coalworker's pneumoconiosis is a preventable occupational lung disease. Preventive measures include minimizing coal dust exposure through engineering controls, respiratory protection, and regular health surveillance.

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