{"code":"J12.81","type":"code","title":"Pneumonia due to SARS-associated coronavirus","codeAlso":["associated abscess, if applicable (J85.1)"],"includes":["bronchopneumonia due to viruses other than influenza viruses"],"modern_v":"official26","codeFirst":["associated influenza, if applicable (J09.X1, J10.0-, J11.0-)"],"excludes1":[],"excludes2":["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)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["J12","J12.0","J12.1","J12.2","J12.3","J12.82","J12.89","J12.9"],"inclusionTerms":["Severe acute respiratory syndrome NOS"],"sibling_titles":{"code":"J12.9","title":"Viral pneumonia, unspecified","isBillable":true},"useAdditionalCode":["code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)"],"clinicalDefinition":"Pneumonia due to SARS-associated coronavirus is a billable ICD-10-CM diagnosis code (J12.81). Includes: bronchopneumonia due to viruses other than influenza viruses. Inclusion terms: Severe acute respiratory syndrome NOS. 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.","officialDefinition":"Pneumonia due to SARS-associated coronavirus is a billable ICD-10-CM diagnosis code (J12.81). Includes: bronchopneumonia due to viruses other than influenza viruses. Inclusion terms: Severe acute respiratory syndrome NOS. 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).","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":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"aspiration pneumonia due to anesthesia during labor and delivery (O74.0)":"J12","aspiration pneumonia due to anesthesia during pregnancy (O29)":"J12","aspiration pneumonia due to anesthesia during puerperium (O89.0)":"J12","aspiration pneumonia due to solids and liquids (J69.-)":"J12","aspiration pneumonia NOS (J69.0)":"J12","congenital pneumonia (P23.0)":"J12","congenital rubella pneumonitis (P35.0)":"J12","interstitial pneumonia NOS (J84.9)":"J12","lipid pneumonia (J69.1)":"J12","neonatal aspiration pneumonia (P24.-)":"J12","allergic or eosinophilic pneumonia (J82)":"J12","meconium pneumonia (P24.01)":"J12","pneumonia due to solids and liquids (J69.-)":"J12","congenital pneumonia (P23.9)":"J12","rheumatic pneumonia (I00)":"J12","ventilator associated pneumonia (J95.851)":"J12","associated influenza, if applicable (J09.X1, J10.0-, J11.0-)":"J12","code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)":"J12","bronchopneumonia due to viruses other than influenza viruses":"J12"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}