ICD-10/J18.1

J18.1 ICD 2026 Code: Lobar pneumonia, unspecified organism

J18.1 is the authoritative medical code for Lobar pneumonia, unspecified organism. This classification is used in medical billing and clinical recording to specify the clinical criteria for lobar pneumonia, unspecified organism (ICD-10-CM J18.1), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Official Registry Overview & Definition

Lobar pneumonia, unspecified organism is a billable ICD-10-CM diagnosis code J18.1. Excludes1 (not coded here): congenital pneumonia P23.0; drug-induced interstitial lung disorder J70.2-J70.4; interstitial pneumonia NOS J84.9; neonatal aspiration pneumonia P24.-; pneumonitis due to fumes and vapors J68.0; usual interstitial pneumonia J84.178. Excludes2 (not included here): abscess of lung with pneumonia J85.1; aspiration pneumonia due to anesthesia during labor and delivery O74.0; aspiration pneumonia due to anesthesia during pregnancy O29; aspiration pneumonia due to anesthesia during puerperium O89.0; aspiration pneumonia due to solids and liquids J69.-; aspiration pneumonia NOS J69.0; lipid pneumonia J69.1; pneumonitis due to external agents J67-J70; allergic or eosinophilic pneumonia J82; meconium pneumonia P24.01; neonatal aspiration pneumonia P24.-; pneumonia due to solids and liquids J69.-; congenital pneumonia P23.9; rheumatic pneumonia I00; ventilator associated pneumonia J95.851. Code first: , if applicable, associated influenza (J09.X1, J10.0-, J11.0-). Use additional code: code, if applicable, to identify resistance to antimicrobial drugs Z16.-. Code also: , if applicable, any associated condition such as:; aspiration pneumonia J69.-.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for J18.1 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • congenital pneumonia P23.0
  • drug-induced interstitial lung disorder J70.2-J70.4
  • interstitial pneumonia NOS J84.9
  • neonatal aspiration pneumonia P24.-
  • pneumonitis due to fumes and vapors J68.0
  • usual interstitial pneumonia J84.178

Excludes2 — Not Included Here

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

  • abscess of lung with pneumonia J85.1
  • aspiration pneumonia due to anesthesia during labor and delivery O74.0
  • aspiration pneumonia due to anesthesia during pregnancy O29
  • aspiration pneumonia due to anesthesia during puerperium O89.0
  • aspiration pneumonia due to solids and liquids J69.-
  • aspiration pneumonia NOS J69.0
  • lipid pneumonia J69.1
  • pneumonitis due to external agents J67-J70
  • allergic or eosinophilic pneumonia J82
  • meconium pneumonia P24.01
  • neonatal aspiration pneumonia P24.-
  • pneumonia due to solids and liquids J69.-
  • congenital pneumonia P23.9
  • rheumatic pneumonia I00
  • ventilator associated pneumonia J95.851

Code First

Underlying conditions that must be sequenced before this code.

  • , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

Code Also

Additional codes that may be required to fully describe the encounter.

  • , if applicable, any associated condition such as:
  • aspiration pneumonia J69.-

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • code, if applicable, to identify resistance to antimicrobial drugs Z16.-

Frequently Asked Questions (FAQ) & Clinical Guidance

What can't be coded together with J18.1?

Per Excludes1 instructions, J18.1 must not be reported with: congenital pneumonia (P23.0); drug-induced interstitial lung disorder (J70.2-J70.4); interstitial pneumonia NOS (J84.9); neonatal aspiration pneumonia (P24.-).

Can J18.1 be reported alongside related conditions?

Per Excludes2 instructions, J18.1 and the following may both be reported when both are present: abscess of lung with pneumonia (J85.1); aspiration pneumonia due to anesthesia during labor and delivery (O74.0); aspiration pneumonia due to anesthesia during pregnancy (O29); aspiration pneumonia due to anesthesia during puerperium (O89.0).

Does J18.1 need to be sequenced after another code?

Yes. Code first: , if applicable, associated influenza (J09.X1, J10.0-, J11.0-).

Is an additional code needed with J18.1?

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

Codes in This Family (5)

Official ICD-10-CM classifications in the same code family as J18.1, with their registry titles.

  • J18 — Pneumonia, unspecified organism
  • J18.0 — Bronchopneumonia, unspecified organism
  • J18.2 — Hypostatic pneumonia, unspecified organism
  • J18.8 — Other pneumonia, unspecified organism
  • J18.9 — Pneumonia, unspecified organism

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved), lobar (disseminated) (double) (interstitial)

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code J15.1 Pneumonia due to Pseudomonas
ICD Code J20.1 Acute bronchitis due to Hemophilus influenzae
ICD Code J21.1 Acute bronchiolitis due to human metapneumovirus
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