{"code":"J12","type":"category","title":"Viral pneumonia, not elsewhere classified","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":false,"sibling_codes":["J12.0","J12.1","J12.2","J12.3","J12.81","J12.82","J12.89","J12.9"],"inclusionTerms":[],"sibling_titles":{"code":"J12.9","title":"Viral pneumonia, unspecified","isBillable":true},"useAdditionalCode":["code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)"],"clinicalDefinition":"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.","officialDefinition":"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).","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":"J12.0","title":"Adenoviral pneumonia","description":"Adenoviral pneumonia is a billable ICD-10-CM diagnosis code (J12.0). 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":true,"slug":"j12.0-adenoviral-pneumonia"},{"code":"J12.1","title":"Respiratory syncytial virus pneumonia","description":"Respiratory syncytial virus pneumonia is a billable ICD-10-CM diagnosis code (J12.1). Includes: bronchopneumonia due to viruses other than influenza viruses. Inclusion terms: RSV pneumonia. 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":true,"slug":"j12.1-respiratory-syncytial-virus-pneumonia"},{"code":"J12.2","title":"Parainfluenza virus pneumonia","description":"Parainfluenza virus pneumonia is a billable ICD-10-CM diagnosis code (J12.2). 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":true,"slug":"j12.2-parainfluenza-virus-pneumonia"},{"code":"J12.3","title":"Human metapneumovirus pneumonia","description":"Human metapneumovirus pneumonia is a billable ICD-10-CM diagnosis code (J12.3). 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":true,"slug":"j12.3-human-metapneumovirus-pneumonia"},{"code":"J12.8","title":"Other viral pneumonia","description":"Other viral pneumonia is a non-billable ICD-10-CM category code (J12.8). 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":"j12.8-other-viral-pneumonia"},{"code":"J12.81","title":"Pneumonia due to SARS-associated coronavirus","description":"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).","isBillable":true,"slug":"j12.81-pneumonia-due-to-sars-associated-coronavirus"},{"code":"J12.82","title":"Pneumonia due to coronavirus disease 2019","description":"Pneumonia due to coronavirus disease 2019 is a billable ICD-10-CM diagnosis code (J12.82). Includes: bronchopneumonia due to viruses other than influenza viruses. Inclusion terms: Pneumonia due to 2019 novel coronavirus (SARS-CoV-2); Pneumonia due to COVID-19. 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: COVID-19 (U07.1); 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":true,"slug":"j12.82-pneumonia-due-to-coronavirus-disease-2019"},{"code":"J12.89","title":"Other viral pneumonia","description":"Other viral pneumonia is a billable ICD-10-CM diagnosis code (J12.89). 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":true,"slug":"j12.89-other-viral-pneumonia"},{"code":"J12.9","title":"Viral pneumonia, unspecified","description":"Viral pneumonia, unspecified is a billable ICD-10-CM diagnosis code (J12.9). 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":true,"slug":"j12.9-viral-pneumonia-unspecified"}],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}