J13 vs J69
J13 (Pneumonia due to Streptococcus pneumoniae) compared with J69 (Pneumonitis due to solids and liquids), 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. J13 carries an Excludes2 note covering J69: “pneumonia due to solids and liquids (J69.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| J13Pneumonia due to Streptococcus pneumoniae | J69Pneumonitis due to solids and liquids | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | J00-J99 — Diseases of the Respiratory System (J00-J99) |
| Definition | Pneumonia due to Streptococcus pneumoniae is a billable ICD-10-CM diagnosis code (J13). | Pneumonitis due to solids and liquids is a non-billable ICD-10-CM category code (J69). |
| Includes | Bronchopneumonia due to S. pneumoniae | — |
| Use additional code | code, if applicable, to identify resistance to antimicrobial drugs (Z16.-) | — |
| Code first | , if applicable, associated influenza (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