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J10 ICD-10-CM Code: Influenza due to other identified influenza virus

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

Tabular directives
3 inclusion terms · 3 Excludes1 · 9 Excludes2 · 1 use-additional code

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for J10 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on J10 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • influenza A (non-novel)
  • influenza B
  • influenza C

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from J09-J18

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

Source: inherited from J09-J18

Coder workflow for J10

MedCoder structured workflow — derived from this code’s own official record

Before you code J10

  1. J10 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewJ10.0, J10.1, J10.2, J10.8

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. J10’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with J10. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support one of the more specific codes beneath J10?
    Yes → Select that code and continue the checks below on its own page.
    No → J10 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewJ10.0, J10.1, J10.2, J10.8

  2. Does the documentation support a condition named in J10’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewJ09.X, J11

Consider J10. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Excludes1 — check before selecting J10(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with J10: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareJ09.X, J11

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of J10(9 notes)

    Coding workflow: The conditions named in this note are not included in J10. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareJ82, J69.0, P24.01, P24, J69, P23.9

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying J10(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with J10 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewZ16

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition J10 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewJ09.X, J11

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is J10 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with J10?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewZ16

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Influenza due to other identified influenza virus is a non-billable ICD-10-CM category code (J10). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 10: Diseases of the Respiratory System (J00-J99), U07.0 a. Chronic Obstructive Pulmonary Disease [COPD] and Asthma 1) Acute exacerbation of chronic obstructive bronchitis and asthma

c. Influenza due to certain identified influenza viruses Code only confirmed cases of influenza due to certain identified influenza viruses (category J09), and due to other identified influenza virus (category J10). This is an exception to the hospital inpatient guideline Section II, H. (Uncertain Diagnosis).

Chapter 10: Diseases of the Respiratory System (J00-J99), U07.0 a. Chronic Obstructive Pulmonary Disease [COPD] and Asthma 1) Acute exacerbation of chronic obstructive bronchitis and asthma

In this context, “confirmation” does not require documentation of positive laboratory testing specific for avian or other novel influenza A or other identified influenza virus. However, coding should be based on the provider’s diagnostic statement that the patient has avian influenza, or other novel influenza A, for category J09, or has another particular identified strain of influenza, such as H1N1 or H3N2, but not identified as novel or variant, for category J10.

Chapter 10: Diseases of the Respiratory System (J00-J99), U07.0 a. Chronic Obstructive Pulmonary Disease [COPD] and Asthma 1) Acute exacerbation of chronic obstructive bronchitis and asthma

If the provider records “suspected” or “possible” or “probable” avian influenza, or novel influenza, or other identified influenza, then the appropriate influenza code from category J11, Influenza due to unidentified influenza virus, should be assigned. A code from category J09, Influenza due to certain identified influenza viruses, should not be assigned nor should a code from category J10, Influenza due to other identified influenza virus.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 1 Use Additional Code instruction — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 3 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 9 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name J10 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: J09 — Influenza due to certain identified influenza viruses.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 6 Excludes2 notes: P35 — Congenital viral diseases, P35-P39 — Infections specific to the perinatal period (P35-P39), P36 — Bacterial sepsis of newborn, P37 — Other congenital infectious and parasitic diseases, P38 — Omphalitis of newborn, P39 — Other infections specific to the perinatal period.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Influenza”; these codes share that main term but sit in a different category of the Tabular List.

J09.X1 — Influenza due to identified novel influenza A virus with pneumonia (due to, identified novel influenza A virus, with, pneumonia), J09.X2 — Influenza due to identified novel influenza A virus with other respiratory manifestations (bird), J09.X3 — Influenza due to identified novel influenza A virus with gastrointestinal manifestations (due to, identified novel influenza A virus, with, enteritis), J09.X9 — Influenza due to identified novel influenza A virus with other manifestations (due to, identified novel influenza A virus, with, myocarditis), J11.00 — Influenza due to unidentified influenza virus with unspecified type of pneumonia (with, pneumonia), J11.08 — Influenza due to unidentified influenza virus with specified pneumonia (with, pneumonia, specified type), J11.1 — Influenza due to unidentified influenza virus with other respiratory manifestations, J11.2 — Influenza due to unidentified influenza virus with gastrointestinal manifestations (with, enteritis), J11.81 — Influenza due to unidentified influenza virus with encephalopathy (with, encephalopathy), J11.82 — Influenza due to unidentified influenza virus with myocarditis (with, myocarditis), J11.83 — Influenza due to unidentified influenza virus with otitis media (with, otitis media), J11.89 — Influenza due to unidentified influenza virus with other manifestations (with, specified manifestation NEC)

Contextual Map

Every relationship of J10 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run J10 with these 18 related codes in Claim Check

Hierarchy

Excludes1

Excludes2 (9)

Use Additional Code

  • Z16 — Resistance to antimicrobial drugs[Use Additional Code]: “code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Nearest codes (11)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Can J10 be billed directly?

No. J10 (Influenza due to other identified influenza virus) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "J10 — Influenza due to other identified influenza virus." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/j10-influenza-due-to-other-identified-influenza-virus

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Influenza due to other identified influenza virus

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to J10 in its code family, with their registry titles.