J12.82 vs P23.0
J12.82 (Pneumonia due to coronavirus disease 2019) compared with P23.0 (Congenital pneumonia due to viral agent), 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. J12.82 carries an Excludes2 note covering P23.0: “congenital pneumonia (P23.0)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| J12.82Pneumonia due to coronavirus disease 2019 | P23.0Congenital pneumonia due to viral agent | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Pneumonia due to coronavirus disease 2019 is a billable ICD-10-CM diagnosis code (J12.82). | Congenital pneumonia due to viral agent is a billable ICD-10-CM diagnosis code (P23.0). |
| Includes | bronchopneumonia due to viruses other than influenza viruses Pneumonia due to 2019 novel coronavirus (SARS-CoV-2) Pneumonia due to COVID-19 | infective pneumonia acquired in utero or during birth |
| Use additional code | code, if applicable, to identify resistance to antimicrobial drugs (Z16.-) | code (B97) to identify organism |
| Code first | COVID-19 (U07.1) associated influenza, if applicable (J09.X1, J10.0-, J11.0-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources