{"code":"J09-J18","type":"block","title":"Influenza and pneumonia","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["allergic or eosinophilic pneumonia (J82)","aspiration pneumonia NOS (J69.0)","meconium pneumonia (P24.01)","neonatal aspiration pneumonia (P24.-)","pneumonia due to solids and liquids (J69.-)","congenital pneumonia (P23.9)","lipid pneumonia (J69.1)","rheumatic pneumonia (I00)","ventilator associated pneumonia (J95.851)"],"isBillable":false,"sibling_codes":["J09","J10","J11","J12","J13","J14","J15","J16","J17","J18","J09.X1","J09.X2","J09.X3","J09.X9","J10.01","J10.08","J10.1","J10.2","J10.81","J10.82","J10.83","J10.89","J11.1","J11.2","J12.0","J12.1","J12.2","J12.3","J12.81","J12.82","J12.89","J12.9","J15.0","J15.1","J15.2","J15.20","J15.21","J15.211","J15.212","J15.29","J15.3","J15.4","J15.5","J15.6","J15.7","J15.8","J15.9","J16.0","J16.8"],"inclusionTerms":[],"sibling_titles":{"code":"J16.8","title":"Pneumonia due to other specified infectious organisms","isBillable":true},"useAdditionalCode":["code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)"],"clinicalDefinition":"Influenza and pneumonia (J09-J18) is a non-billable ICD-10-CM category code (J09-J18). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.","officialDefinition":"Influenza and pneumonia (J09-J18) is a non-billable ICD-10-CM category code (J09-J18). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[{"code":"J09","title":"Influenza due to certain identified influenza viruses","description":"Influenza due to certain identified influenza viruses is a non-billable ICD-10-CM category code (J09). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): influenza A/H1N1 (J10.-); influenza due to other identified influenza virus (J10.-); influenza due to unidentified influenza virus (J11.-); seasonal influenza due to other identified influenza virus (J10.-); seasonal influenza due to unidentified influenza virus (J11.-). Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).","isBillable":false,"slug":"j09-influenza-due-to-certain-identified-influenza-viruses"},{"code":"J10","title":"Influenza due to other identified influenza virus","description":"Influenza due to other identified influenza virus is a non-billable ICD-10-CM category code (J10). A more specific billable subcode must be selected for claims submission. Includes: influenza A (non-novel); influenza B; influenza C. Excludes1 (not coded here): influenza due to avian influenza virus (J09.X-); influenza due to swine flu (J09.X-); influenza due to unidentifed influenza virus (J11.-). Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).","isBillable":false,"slug":"j10-influenza-due-to-other-identified-influenza-virus"},{"code":"J11","title":"Influenza due to unidentified influenza virus","description":"Influenza due to unidentified influenza virus is a non-billable ICD-10-CM category code (J11). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).","isBillable":false,"slug":"j11-influenza-due-to-unidentified-influenza-virus"},{"code":"J12","title":"Viral pneumonia, not elsewhere classified","description":"Viral pneumonia, not elsewhere classified is a non-billable ICD-10-CM category code (J12). A more specific billable subcode must be selected for claims submission. Includes: bronchopneumonia due to viruses other than influenza viruses. Excludes2 (not included here): aspiration pneumonia due to anesthesia during labor and delivery (O74.0); aspiration pneumonia due to anesthesia during pregnancy (O29); aspiration pneumonia due to anesthesia during puerperium (O89.0); aspiration pneumonia due to solids and liquids (J69.-); aspiration pneumonia NOS (J69.0); congenital pneumonia (P23.0); congenital rubella pneumonitis (P35.0); interstitial pneumonia NOS (J84.9); lipid pneumonia (J69.1); neonatal aspiration pneumonia (P24.-); allergic or eosinophilic pneumonia (J82); meconium pneumonia (P24.01); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Code first: associated influenza, if applicable (J09.X1, J10.0-, J11.0-). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-). Code also: associated abscess, if applicable (J85.1).","isBillable":false,"slug":"j12-viral-pneumonia-not-elsewhere-classified"},{"code":"J13","title":"Pneumonia due to Streptococcus pneumoniae","description":"Pneumonia due to Streptococcus pneumoniae is a billable ICD-10-CM diagnosis code (J13). Inclusion terms: Bronchopneumonia due to S. pneumoniae. Excludes1 (not coded here): congenital pneumonia due to S. pneumoniae (P23.6); lobar pneumonia, unspecified organism (J18.1); pneumonia due to other streptococci (J15.3-J15.4). Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Code first: , if applicable, associated influenza (J09.X1, J10.0-, J11.0-). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-). Code also: , if applicable, any associated condition such as:; abscess (J85.1); aspiration pneumonia (J69.-).","isBillable":false,"slug":"j13-pneumonia-due-to-streptococcus-pneumoniae"},{"code":"J14","title":"Pneumonia due to Hemophilus influenzae","description":"Pneumonia due to Hemophilus influenzae is a billable ICD-10-CM diagnosis code (J14). Inclusion terms: Bronchopneumonia due to H. influenzae. Excludes1 (not coded here): congenital pneumonia due to H. influenzae (P23.6). Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Code first: , if applicable, associated influenza (J09.X1, J10.0-, J11.0-). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-). Code also: , if applicable, any associated condition such as:; abscess (J85.1); aspiration pneumonia (J69.-).","isBillable":false,"slug":"j14-pneumonia-due-to-hemophilus-influenzae"},{"code":"J15","title":"Bacterial pneumonia, not elsewhere classified","description":"Bacterial pneumonia, not elsewhere classified is a non-billable ICD-10-CM category code (J15). A more specific billable subcode must be selected for claims submission. Includes: bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae. Excludes1 (not coded here): chlamydial pneumonia (J16.0); congenital pneumonia (P23.-); Legionnaires' disease (A48.1); spirochetal pneumonia (A69.8). Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Code first: , if applicable, associated influenza (J09.X1, J10.0-, J11.0-). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-). Code also: , if applicable, any associated condition such as:; abscess (J85.1); aspiration pneumonia (J69.-).","isBillable":false,"slug":"j15-bacterial-pneumonia-not-elsewhere-classified"},{"code":"J16","title":"Pneumonia due to other infectious organisms, not elsewhere classified","description":"Pneumonia due to other infectious organisms, not elsewhere classified is a non-billable ICD-10-CM category code (J16). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): congenital pneumonia (P23.-); ornithosis (A70); pneumocystosis (B59); pneumonia NOS (J18.9). Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Code first: , if applicable, associated influenza (J09.X1, J10.0-, J11.0-). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-). Code also: , if applicable, any associated condition such as:; abscess (J85.1); aspiration pneumonia (J69.-).","isBillable":false,"slug":"j16-pneumonia-due-to-other-infectious-organisms-not-elsewhere-classified"},{"code":"J17","title":"Pneumonia in diseases classified elsewhere","description":"Pneumonia in diseases classified elsewhere is a billable ICD-10-CM diagnosis code (J17). Excludes1 (not coded here): candidial pneumonia (B37.1); chlamydial pneumonia (J16.0); gonorrheal pneumonia (A54.84); histoplasmosis pneumonia (B39.0-B39.2); measles pneumonia (B05.2); nocardiosis pneumonia (A43.0); pneumocystosis (B59); pneumonia due to Pneumocystis carinii (B59); pneumonia due to Pneumocystis jirovecii (B59); pneumonia in actinomycosis (A42.0); pneumonia in anthrax (A22.1); pneumonia in ascariasis (B77.81); pneumonia in aspergillosis (B44.0-B44.1); pneumonia in coccidioidomycosis (B38.0-B38.2); pneumonia in cytomegalovirus disease (B25.0); pneumonia in toxoplasmosis (B58.3); rubella pneumonia (B06.81); salmonella pneumonia (A02.22); spirochetal infection NEC with pneumonia (A69.8); tularemia pneumonia (A21.2); typhoid fever with pneumonia (A01.03); varicella pneumonia (B01.2); whooping cough with pneumonia (A37 with fifth-character 1). Excludes2 (not included here): allergic or eosinophilic pneumonia (J82); aspiration pneumonia NOS (J69.0); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); lipid pneumonia (J69.1); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Code first: underlying disease, such as:; Q fever (A78); rheumatic fever (I00); schistosomiasis (B65.0-B65.9). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-). Code also: , if applicable, any associated condition such as:; abscess (J85.1); aspiration pneumonia (J69.-).","isBillable":false,"slug":"j17-pneumonia-in-diseases-classified-elsewhere"},{"code":"J18","title":"Pneumonia, unspecified organism","description":"Pneumonia, unspecified organism is a non-billable ICD-10-CM category code (J18). A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): congenital pneumonia (P23.0); drug-induced interstitial lung disorder (J70.2-J70.4); interstitial pneumonia NOS (J84.9); neonatal aspiration pneumonia (P24.-); pneumonitis due to fumes and vapors (J68.0); usual interstitial pneumonia (J84.178). Excludes2 (not included here): abscess of lung with pneumonia (J85.1); aspiration pneumonia due to anesthesia during labor and delivery (O74.0); aspiration pneumonia due to anesthesia during pregnancy (O29); aspiration pneumonia due to anesthesia during puerperium (O89.0); aspiration pneumonia due to solids and liquids (J69.-); aspiration pneumonia NOS (J69.0); lipid pneumonia (J69.1); pneumonitis due to external agents (J67-J70); allergic or eosinophilic pneumonia (J82); meconium pneumonia (P24.01); neonatal aspiration pneumonia (P24.-); pneumonia due to solids and liquids (J69.-); congenital pneumonia (P23.9); rheumatic pneumonia (I00); ventilator associated pneumonia (J95.851). Code first: , if applicable, associated influenza (J09.X1, J10.0-, J11.0-). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-). Code also: , if applicable, any associated condition such as:; aspiration pneumonia (J69.-).","isBillable":false,"slug":"j18-pneumonia-unspecified-organism"}],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}