Pneumonia due to Streptococcus pneumoniae J13- >

Applicable To
  • Bronchopneumonia due to S. pneumoniae
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 J13. 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.
  • congenital pneumonia due to S. pneumoniae (
    ICD-10-CM Diagnosis Code P23.6

    Congenital pneumonia due to other bacterial agents

      2016 2017 2018 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Congenital pneumonia due to Hemophilus influenzae
    • Congenital pneumonia due to Klebsiella pneumoniae
    • Congenital pneumonia due to Mycoplasma
    • Congenital pneumonia due to Streptococcus, except group B
    Use Additional
    • code (B95-B96) to identify organism
    P23.6
    )
  • lobar pneumonia, unspecified organism (
    ICD-10-CM Diagnosis Code J18.1

    Lobar pneumonia, unspecified organism

      2016 2017 2018 Billable/Specific Code
    J18.1
    )
  • pneumonia due to other streptococci (
    ICD-10-CM Diagnosis Code J15.3

    Pneumonia due to streptococcus, group B

      2016 2017 2018 Billable/Specific Code
    J15.3-
    ICD-10-CM Diagnosis Code J15.4

    Pneumonia due to other streptococci

      2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    • pneumonia due to streptococcus, group B (J15.3)
    • pneumonia due to Streptococcus pneumoniae (J13)
    J15.4
    )
Clinical Information
Codes