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Compare/J09 vs J95.851

J09 vs J95.851

J09 (Influenza due to certain identified influenza viruses) compared with J95.851 (Ventilator associated pneumonia), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. J09 carries an Excludes2 note covering J95.851: “ventilator associated pneumonia (J95.851)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

J09Influenza due to certain identified influenza virusesJ95.851Ventilator associated pneumonia
Billing statusNon-billable header

Report instead: J09.X1, J09.X2, J09.X3, J09.X9

Billable
ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionInfluenza due to certain identified influenza viruses is a non-billable ICD-10-CM category code (J09).Ventilator associated pneumonia is a billable ICD-10-CM diagnosis code (J95.851).
Includes
Ventilator associated pneumonitis
Use additional code
code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
code to identify the organism, if known (B95.-, B96.-, B97.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources