{"code":"J15.21","type":"code","title":"Pneumonia due to staphylococcus aureus","codeAlso":[", if applicable, any associated condition such as:","abscess (J85.1)","aspiration pneumonia (J69.-)"],"includes":["bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae"],"modern_v":"official26","codeFirst":[", if applicable, associated influenza (J09.X1, J10.0-, J11.0-)"],"excludes1":["chlamydial pneumonia (J16.0)","congenital pneumonia (P23.-)","Legionnaires' disease (A48.1)","spirochetal pneumonia (A69.8)"],"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":["J15.211","J15.212"],"inclusionTerms":[],"sibling_titles":{"code":"J15.212","title":"Pneumonia due to Methicillin resistant Staphylococcus aureus","isBillable":true},"useAdditionalCode":["code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)"],"clinicalDefinition":"Pneumonia due to staphylococcus aureus is a non-billable ICD-10-CM category code (J15.21). 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).","officialDefinition":"Pneumonia due to staphylococcus aureus is a non-billable ICD-10-CM category code (J15.21). 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.-).","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":""}