DRG 178

Respiratory infections and inflammations with cc

ICD-10-CM A02.22

Salmonella pneumonia

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A06.5

Amebic lung abscess

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Amebic abscess of lung (and liver)
ICD-10-CM A15.0

Tuberculosis of lung

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Tuberculous bronchiectasis
  • Tuberculous fibrosis of lung
  • Tuberculous pneumonia
  • Tuberculous pneumothorax
ICD-10-CM A15.4

Tuberculosis of intrathoracic lymph nodes

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Tuberculosis of hilar lymph nodes
  • Tuberculosis of mediastinal lymph nodes
  • Tuberculosis of tracheobronchial lymph nodes
Type 1 Excludes
  • tuberculosis specified as primary (A15.7)
ICD-10-CM A15.5

Tuberculosis of larynx, trachea and bronchus

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Tuberculosis of bronchus
  • Tuberculosis of glottis
  • Tuberculosis of larynx
  • Tuberculosis of trachea
ICD-10-CM A15.6

Tuberculous pleurisy

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Tuberculosis of pleura Tuberculous empyema
Type 1 Excludes
  • primary respiratory tuberculosis (A15.7)
ICD-10-CM A15.7

Primary respiratory tuberculosis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A15.8

Other respiratory tuberculosis

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Mediastinal tuberculosis
  • Nasopharyngeal tuberculosis
  • Tuberculosis of nose
  • Tuberculosis of sinus [any nasal]
ICD-10-CM A15.9

Respiratory tuberculosis unspecified

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A20.2

Pneumonic plague

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A21.2

Pulmonary tularemia

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A22.1

Pulmonary anthrax

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Inhalation anthrax
  • Ragpicker's disease
  • Woolsorter's disease
ICD-10-CM A31.0

Pulmonary mycobacterial infection

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Infection due to Mycobacterium avium
  • Infection due to Mycobacterium intracellulare [Battey bacillus]
  • Infection due to Mycobacterium kansasii
ICD-10-CM A42.0

Pulmonary actinomycosis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A43.0

Pulmonary nocardiosis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A48.1

Legionnaires' disease

    2016 2017 2018 Billable/Specific Code
ICD-10-CM A52.72

Syphilis of lung and bronchus

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B01.2

Varicella pneumonia

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B05.2

Measles complicated by pneumonia

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Postmeasles pneumonia
ICD-10-CM B25.0

Cytomegaloviral pneumonitis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B37.1

Pulmonary candidiasis

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Candidal bronchitis
  • Candidal pneumonia
ICD-10-CM B38.0

Acute pulmonary coccidioidomycosis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B38.1

Chronic pulmonary coccidioidomycosis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B38.2

Pulmonary coccidioidomycosis, unspecified

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B39.0

Acute pulmonary histoplasmosis capsulati

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B39.1

Chronic pulmonary histoplasmosis capsulati

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B39.2

Pulmonary histoplasmosis capsulati, unspecified

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B44.0

Invasive pulmonary aspergillosis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B58.3

Pulmonary toxoplasmosis

    2016 2017 2018 Billable/Specific Code
ICD-10-CM B59

Pneumocystosis

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Pneumonia due to Pneumocystis carinii
  • Pneumonia due to Pneumocystis jiroveci
ICD-10-CM B66.4

Paragonimiasis

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Infection due to Paragonimus species
  • Lung fluke disease
  • Pulmonary distomiasis
ICD-10-CM B67.1

Echinococcus granulosus infection of lung

    2016 2017 2018 Billable/Specific Code
ICD-10-CM E84.0

Cystic fibrosis with pulmonary manifestations

    2016 2017 2018 Billable/Specific Code
Use Additional
  • code to identify any infectious organism present, such as:
  • Pseudomonas (B96.5)
ICD-10-CM J10.00

Influenza due to other identified influenza virus with unspecified type of pneumonia

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J10.01

Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J10.08

Influenza due to other identified influenza virus with other specified pneumonia

    2016 2017 2018 Billable/Specific Code
Code Also
  • other specified type of pneumonia
ICD-10-CM J11.00

Influenza due to unidentified influenza virus with unspecified type of pneumonia

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Influenza with pneumonia NOS
ICD-10-CM J11.08

Influenza due to unidentified influenza virus with specified pneumonia

    2016 2017 2018 Billable/Specific Code
Code Also
  • other specified type of pneumonia
ICD-10-CM J15.0

Pneumonia due to Klebsiella pneumoniae

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J15.1

Pneumonia due to Pseudomonas

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J15.20

Pneumonia due to staphylococcus, unspecified

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J15.211

Pneumonia due to Methicillin susceptible Staphylococcus aureus

    2016 2017 2018 Billable/Specific Code
Applicable To
  • MSSA pneumonia
  • Pneumonia due to Staphylococcus aureus NOS
ICD-10-CM J15.212

Pneumonia due to Methicillin resistant Staphylococcus aureus

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J15.29

Pneumonia due to other staphylococcus

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J15.5

Pneumonia due to Escherichia coli

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J15.6

Pneumonia due to other Gram-negative bacteria

    2016 2017 2018 - Revised Code Billable/Specific Code
Applicable To
  • Pneumonia due to other aerobic Gram-negative bacteria
  • Pneumonia due to Serratia marcescens
ICD-10-CM J15.8

Pneumonia due to other specified bacteria

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J17

Pneumonia in diseases classified elsewhere

    2016 2017 2018 Billable/Specific Code Manifestation Code
Code First
  • underlying disease, such as:
  • Q fever (A78)
  • rheumatic fever (I00)
  • schistosomiasis (B65.0-B65.9)
Type 1 Excludes
  • candidial pneumonia (B37.1)
  • chlamydial pneumonia (J16.0)
  • gonorrheal pneumonia (A54.84)
  • histoplasmosis pneumonia (B39.0-B39.2)
  • measles pneumonia (B05.2)
  • nocardiosis pneumonia (A43.0)
  • pneumocystosis (B59)
  • pneumonia due to Pneumocystis carinii (B59)
  • pneumonia due to Pneumocystis jiroveci (B59)
  • pneumonia in actinomycosis (A42.0)
  • pneumonia in anthrax (A22.1)
  • pneumonia in ascariasis (B77.81)
  • pneumonia in aspergillosis (B44.0-B44.1)
  • pneumonia in coccidioidomycosis (B38.0-B38.2)
  • pneumonia in cytomegalovirus disease (B25.0)
  • pneumonia in toxoplasmosis (B58.3)
  • rubella pneumonia (B06.81)
  • salmonella pneumonia (A02.22)
  • spirochetal infection NEC with pneumonia (A69.8)
  • tularemia pneumonia (A21.2)
  • typhoid fever with pneumonia (A01.03)
  • varicella pneumonia (B01.2)
  • whooping cough with pneumonia (A37 with fifth-character 1)
ICD-10-CM 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)
ICD-10-CM 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)
ICD-10-CM J69.8

Pneumonitis due to inhalation of other solids and liquids

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Pneumonitis due to aspiration of blood
  • Pneumonitis due to aspiration of detergent
Code First
ICD-10-CM J85.0

Gangrene and necrosis of lung

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J85.1

Abscess of lung with pneumonia

    2016 2017 2018 Billable/Specific Code
Code Also
  • the type of pneumonia
ICD-10-CM J85.2

Abscess of lung without pneumonia

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Abscess of lung NOS
ICD-10-CM J85.3

Abscess of mediastinum

    2016 2017 2018 Billable/Specific Code
ICD-10-CM J86.0

Pyothorax with fistula

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Bronchocutaneous fistula
  • Bronchopleural fistula
  • Hepatopleural fistula
  • Mediastinal fistula
  • Pleural fistula
  • Thoracic fistula
  • Any condition classifiable to J86.9 with fistula
ICD-10-CM J86.9

Pyothorax without fistula

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Abscess of pleura
  • Abscess of thorax
  • Empyema (chest) (lung) (pleura)
  • Fibrinopurulent pleurisy
  • Purulent pleurisy
  • Pyopneumothorax
  • Septic pleurisy
  • Seropurulent pleurisy
  • Suppurative pleurisy
ICD-10-CM J98.51

Mediastinitis

    2017 - New Code 2018 Billable/Specific Code
Code First
  • underlying condition, if applicable, such as postoperative mediastinitis (T81.-)
ICD-10-CM J98.59

Other diseases of mediastinum, not elsewhere classified

    2017 - New Code 2018 Billable/Specific Code
Applicable To
  • Fibrosis of mediastinum
  • Hernia of mediastinum
  • Retraction of mediastinum
ICD-10-CM R76.11

Nonspecific reaction to tuberculin skin test without active tuberculosis

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Abnormal result of Mantoux test
  • PPD positive
  • Tuberculin (skin test) positive
  • Tuberculin (skin test) reactor
Type 1 Excludes
  • nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis (R76.12)
ICD-10-CM R76.12

Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Nonspecific reaction to QuantiFERON-TB test (QFT) without active tuberculosis
Type 1 Excludes
  • nonspecific reaction to tuberculin skin test without active tuberculosis (R76.11)
  • positive tuberculin skin test (R76.11)