J12.82 (Pneumonia due to coronavirus disease 2019) compared with P35.0 (Congenital rubella syndrome), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“congenital rubella pneumonitis (P35.0)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. J12.82 carries an Excludes2 note covering P35.0: “congenital rubella pneumonitis (P35.0)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| J12.82Pneumonia due to coronavirus disease 2019 | P35.0Congenital rubella syndrome | |
|---|---|---|
| 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 rubella syndrome is a billable ICD-10-CM diagnosis code (P35.0). |
| Includes | bronchopneumonia due to viruses other than influenza viruses Pneumonia due to 2019 novel coronavirus (SARS-CoV-2) Pneumonia due to COVID-19 | infections acquired in utero or during birth Congenital rubella pneumonitis |
| Use additional code | code, if applicable, to identify resistance to antimicrobial drugs (Z16.-) | — |
| 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