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Compare/J10 vs J11

J10 vs J11

J10 (Influenza due to other identified influenza virus) compared with J11 (Influenza due to unidentified influenza virus), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. J10 carries an Excludes1 note covering J11: “influenza due to unidentifed influenza virus (J11.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

J10Influenza due to other identified influenza virusJ11Influenza due to unidentified influenza virus
Billing statusNon-billable header

Report instead: J10.00, J10.01, J10.08, J10.1, J10.2

Non-billable header

Report instead: J11.00, J11.08, J11.1, J11.2, J11.81

ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionInfluenza due to other identified influenza virus is a non-billable ICD-10-CM category code (J10).Influenza due to unidentified influenza virus is a non-billable ICD-10-CM category code (J11).
Includes
influenza A (non-novel)
influenza B
influenza C
Use additional code
code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

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