{"code":"J11","type":"category","title":"Influenza due to unidentified influenza virus","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,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["J11.1","J11.2"],"inclusionTerms":[],"sibling_titles":{"code":"J11.2","title":"Influenza due to unidentified influenza virus with gastrointestinal manifestations","isBillable":true},"useAdditionalCode":["code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)"],"clinicalDefinition":"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.","officialDefinition":"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.-).","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":"J11.0","title":"Influenza due to unidentified influenza virus with pneumonia","description":"Influenza due to unidentified influenza virus with pneumonia is a non-billable ICD-10-CM category code (J11.0). 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.-). Code also: associated lung abscess, if applicable (J85.1).","isBillable":false,"slug":"j11.0-influenza-due-to-unidentified-influenza-virus-with-pneumonia"},{"code":"J11.00","title":"Influenza due to unidentified influenza virus with unspecified type of pneumonia","description":"Influenza due to unidentified influenza virus with unspecified type of pneumonia is a billable ICD-10-CM diagnosis code (J11.00). Inclusion terms: Influenza with pneumonia NOS. 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.-). Code also: associated lung abscess, if applicable (J85.1).","isBillable":true,"slug":"j11.00-influenza-due-to-unidentified-influenza-virus-with-unspecified-type-of"},{"code":"J11.08","title":"Influenza due to unidentified influenza virus with specified pneumonia","description":"Influenza due to unidentified influenza virus with specified pneumonia is a billable ICD-10-CM diagnosis code (J11.08). 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.-). Code also: other specified type of pneumonia; associated lung abscess, if applicable (J85.1).","isBillable":true,"slug":"j11.08-influenza-due-to-unidentified-influenza-virus-with-specified-pneumonia"},{"code":"J11.1","title":"Influenza due to unidentified influenza virus with other respiratory manifestations","description":"Influenza due to unidentified influenza virus with other respiratory manifestations is a billable ICD-10-CM diagnosis code (J11.1). Inclusion terms: Influenza NOS; Influenzal laryngitis NOS; Influenzal pharyngitis NOS; Influenza with upper respiratory symptoms NOS. 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 for associated pleural effusion, if applicable (J91.8); code for associated sinusitis, if applicable (J01.-); code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).","isBillable":true,"slug":"j11.1-influenza-due-to-unidentified-influenza-virus-with-other-respiratory-manifestations"},{"code":"J11.2","title":"Influenza due to unidentified influenza virus with gastrointestinal manifestations","description":"Influenza due to unidentified influenza virus with gastrointestinal manifestations is a billable ICD-10-CM diagnosis code (J11.2). Inclusion terms: Influenza gastroenteritis NOS. Excludes1 (not coded here): 'intestinal flu' [viral gastroenteritis] (A08.-). 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":true,"slug":"j11.2-influenza-due-to-unidentified-influenza-virus-with-gastrointestinal-manifestations"},{"code":"J11.8","title":"Influenza due to unidentified influenza virus with other manifestations","description":"Influenza due to unidentified influenza virus with other manifestations is a non-billable ICD-10-CM category code (J11.8). 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":"j11.8-influenza-due-to-unidentified-influenza-virus-with-other-manifestations"},{"code":"J11.81","title":"Influenza due to unidentified influenza virus with encephalopathy","description":"Influenza due to unidentified influenza virus with encephalopathy is a billable ICD-10-CM diagnosis code (J11.81). Inclusion terms: Influenzal encephalopathy NOS. 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":true,"slug":"j11.81-influenza-due-to-unidentified-influenza-virus-with-encephalopathy"},{"code":"J11.82","title":"Influenza due to unidentified influenza virus with myocarditis","description":"Influenza due to unidentified influenza virus with myocarditis is a billable ICD-10-CM diagnosis code (J11.82). Inclusion terms: Influenzal myocarditis NOS. 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":true,"slug":"j11.82-influenza-due-to-unidentified-influenza-virus-with-myocarditis"},{"code":"J11.83","title":"Influenza due to unidentified influenza virus with otitis media","description":"Influenza due to unidentified influenza virus with otitis media is a billable ICD-10-CM diagnosis code (J11.83). Inclusion terms: Influenzal otitis media NOS. 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 for any associated perforated tympanic membrane (H72.-); code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).","isBillable":true,"slug":"j11.83-influenza-due-to-unidentified-influenza-virus-with-otitis-media"},{"code":"J11.89","title":"Influenza due to unidentified influenza virus with other manifestations","description":"Influenza due to unidentified influenza virus with other manifestations is a billable ICD-10-CM diagnosis code (J11.89). 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: codes to identify the manifestations; code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).","isBillable":true,"slug":"j11.89-influenza-due-to-unidentified-influenza-virus-with-other-manifestations"}],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}