Bacterial pneumonia, not elsewhere classified J15- >

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 J15. 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.
  • chlamydial pneumonia (
    ICD-10-CM Diagnosis Code J16.0

    Chlamydial pneumonia

      2016 2017 2018 Billable/Specific Code
    J16.0
    )
  • congenital pneumonia (
    ICD-10-CM Diagnosis Code P23
    • P23 Congenital pneumonia
      • P23.0 Congenital pneumonia due to viral agent
      • P23.1 Congenital pneumonia due to Chlamydia
      • P23.2 Congenital pneumonia due to staphylococcus
      • P23.3 Congenital pneumonia due to streptococcus, gr...
      • P23.4 Congenital pneumonia due to Escherichia coli
      • P23.5 Congenital pneumonia due to Pseudomonas
      • P23.6 Congenital pneumonia due to other bacterial a...
      • P23.8 Congenital pneumonia due to other organisms
      • P23.9 Congenital pneumonia, unspecified
    P23.-
    )
  • Legionnaires' disease (
    ICD-10-CM Diagnosis Code A48.1

    Legionnaires' disease

      2016 2017 2018 Billable/Specific Code
    A48.1
    )
  • spirochetal pneumonia (
    ICD-10-CM Diagnosis Code A69.8

    Other specified spirochetal infections

      2016 2017 2018 Billable/Specific Code
    A69.8
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae
Codes