2017/18 ICD-10-CM Diagnosis Code J12

Viral pneumonia, not elsewhere classified

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • associated influenza, if applicable (
    ICD-10-CM Diagnosis Code J09.X1

    Influenza due to identified novel influenza A virus with pneumonia

      2016 2017 2018 Billable/Specific Code
    Code Also
    • , if applicable, associated:
    • lung abscess (J85.1)
    • other specified type of pneumonia
    J09.X1
    ,
    ICD-10-CM Diagnosis Code J10.0

    Influenza due to other identified influenza virus with pneumonia

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code Also
    • associated lung abscess, if applicable (J85.1)
    J10.0-
    ,
    ICD-10-CM Diagnosis Code J11.0

    Influenza due to unidentified influenza virus with pneumonia

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code Also
    • associated lung abscess, if applicable (J85.1)
    J11.0-
    )
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • associated abscess, if applicable (
    ICD-10-CM Diagnosis Code J85.1

    Abscess of lung with pneumonia

      2016 2017 2018 Billable/Specific Code
    Code Also
    • the type of pneumonia
    J85.1
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J12. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • aspiration pneumonia due to anesthesia during labor and delivery (
    ICD-10-CM Diagnosis Code O74.0

    Aspiration pneumonitis due to anesthesia during labor and delivery

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Inhalation of stomach contents or secretions NOS due to anesthesia during labor and delivery
    • Mendelson's syndrome due to anesthesia during labor and delivery
    O74.0
    )
  • aspiration pneumonia due to anesthesia during pregnancy (
    ICD-10-CM Diagnosis Code O29

    Complications of anesthesia during pregnancy

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during pregnancy
    Type 2 Excludes
    • complications of anesthesia during labor and delivery (O74.-)
    • complications of anesthesia during the puerperium (O89.-)
    Use Additional
    • code, if necessary, to identify the complication
    O29
    )
  • aspiration pneumonia due to anesthesia during puerperium (
    ICD-10-CM Diagnosis Code O89.0

    Pulmonary complications of anesthesia during the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    O89.0
    )
  • aspiration pneumonia due to solids and liquids (
    ICD-10-CM Diagnosis Code J69
    • J69 Pneumonitis due to solids and liquids
      • J69.0 Pneumonitis due to inhalation of food and vom...
      • J69.1 Pneumonitis due to inhalation of oils and ess...
      • J69.8 Pneumonitis due to inhalation of other solids...
    J69.-
    )
  • aspiration pneumonia NOS (
    ICD-10-CM Diagnosis Code J69.0

    Pneumonitis due to inhalation of food and vomit

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Aspiration pneumonia NOS
    • Aspiration pneumonia (due to) food (regurgitated)
    • Aspiration pneumonia (due to) gastric secretions
    • Aspiration pneumonia (due to) milk
    • Aspiration pneumonia (due to) vomit
    Code Also
    • any associated foreign body in respiratory tract (T17.-)
    Type 1 Excludes
    • chemical pneumonitis due to anesthesia (J95.4)
    • obstetric aspiration pneumonitis (O74.0)
    J69.0
    )
  • congenital pneumonia (
    ICD-10-CM Diagnosis Code P23.0

    Congenital pneumonia due to viral agent

      2016 2017 2018 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • congenital rubella pneumonitis (P35.0)
    Use Additional
    • code (B97) to identify organism
    P23.0
    )
  • congenital rubella pneumonitis (
    ICD-10-CM Diagnosis Code P35.0

    Congenital rubella syndrome

      2016 2017 2018 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Congenital rubella pneumonitis
    P35.0
    )
  • interstitial pneumonia NOS (
    ICD-10-CM Diagnosis Code J84.9

    Interstitial pulmonary disease, unspecified

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Interstitial pneumonia NOS
    J84.9
    )
  • lipid pneumonia (
    ICD-10-CM Diagnosis Code J69.1

    Pneumonitis due to inhalation of oils and essences

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Exogenous lipoid pneumonia
    • Lipid pneumonia NOS
    Code First
    Type 1 Excludes
    • endogenous lipoid pneumonia (J84.89)
    J69.1
    )
  • neonatal aspiration pneumonia (
    ICD-10-CM Diagnosis Code P24
    • P24 Neonatal aspiration
      • P24.0 Meconium aspiration
        • P24.00 Meconium aspiration without respiratory sympt...
        • P24.01 Meconium aspiration with respiratory symptoms...
      • P24.1 Neonatal aspiration of (clear) amniotic fluid...
        • P24.10 Neonatal aspiration of (clear) amniotic fluid...
        • P24.11 Neonatal aspiration of (clear) amniotic fluid...
      • P24.2 Neonatal aspiration of blood
        • P24.20 Neonatal aspiration of blood without respirat...
        • P24.21 Neonatal aspiration of blood with respiratory...
      • P24.3 Neonatal aspiration of milk and regurgitated ...
        • P24.30 Neonatal aspiration of milk and regurgitated ...
        • P24.31 Neonatal aspiration of milk and regurgitated ...
      • P24.8 Other neonatal aspiration
        • P24.80 Other neonatal aspiration without respiratory...
        • P24.81 Other neonatal aspiration with respiratory sy...
      • P24.9 Neonatal aspiration, unspecified
    P24.-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • bronchopneumonia due to viruses other than influenza viruses
The following code(s) above J12 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to J12:
  • J00-J99
    2018 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • smoke inhalation (T59.81-)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Use Additional
    • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Diseases of the respiratory system
  • J09-J18
    2018 ICD-10-CM Range J09-J18

    Influenza and pneumonia

    Type 2 Excludes
    • allergic or eosinophilic pneumonia (J82)
    • aspiration pneumonia NOS (J69.0)
    • meconium pneumonia (P24.01)
    • neonatal aspiration pneumonia (P24.-)
    • pneumonia due to solids and liquids (J69.-)
    • congenital pneumonia (P23.9)
    • lipid pneumonia (J69.1)
    • rheumatic pneumonia (I00)
    • ventilator associated pneumonia (J95.851)
    Influenza and pneumonia
Code History
ICD-10-CM Codes Adjacent To J12
J11.0 Influenza due to unidentified influenza virus with pneumonia
J11.00 Influenza due to unidentified influenza virus with unspecified type of pneumonia
J11.08 Influenza due to unidentified influenza virus with specified pneumonia
J11.1 Influenza due to unidentified influenza virus with other respiratory manifestations
J11.2 Influenza due to unidentified influenza virus with gastrointestinal manifestations
J11.8 Influenza due to unidentified influenza virus with other manifestations
J11.81 Influenza due to unidentified influenza virus with encephalopathy
J11.82 Influenza due to unidentified influenza virus with myocarditis
J11.83 Influenza due to unidentified influenza virus with otitis media
J11.89 Influenza due to unidentified influenza virus with other manifestations
J12 Viral pneumonia, not elsewhere classified
J12.0 Adenoviral pneumonia
J12.1 Respiratory syncytial virus pneumonia
J12.2 Parainfluenza virus pneumonia
J12.3 Human metapneumovirus pneumonia
J12.8 Other viral pneumonia
J12.81 Pneumonia due to SARS-associated coronavirus
J12.89 Other viral pneumonia
J12.9 Viral pneumonia, unspecified
J13 Pneumonia due to Streptococcus pneumoniae
J14 Pneumonia due to Hemophilus influenzae

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.