2018 DRG List Page

ICD10Data
MS-DRG

DRG 193

Simple pneumonia and pleurisy with mcc

B33.0
Epidemic myalgia
J09.X1
Influenza due to identified novel influenza A virus with pneumonia
J09.X2
Influenza due to identified novel influenza A virus with other respiratory manifestations
J10.00
Influenza due to other identified influenza virus with unspecified type of pneumonia
J10.01
Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia
J10.08
Influenza due to other identified influenza virus with other specified pneumonia
J10.1
Influenza due to other identified influenza virus with other respiratory manifestations
J11.00
Influenza due to unidentified influenza virus with unspecified type of pneumonia
J11.08
Influenza due to unidentified influenza virus with specified pneumonia
J12.0
Adenoviral pneumonia
J12.1
Respiratory syncytial virus pneumonia
J12.2
Parainfluenza virus pneumonia
J12.3
Human metapneumovirus 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
J15.3
Pneumonia due to streptococcus, group B
J15.4
Pneumonia due to other streptococci
J15.7
Pneumonia due to Mycoplasma pneumoniae
J15.9
Unspecified bacterial pneumonia
J16.0
Chlamydial pneumonia
J16.8
Pneumonia due to other specified infectious organisms
J18.0
Bronchopneumonia, unspecified organism
J18.1
Lobar pneumonia, unspecified organism
J18.8
Other pneumonia, unspecified organism
J18.9
Pneumonia, unspecified organism
J92.0
Pleural plaque with presence of asbestos
J92.9
Pleural plaque without asbestos
J94.1
Fibrothorax
J94.9
Pleural condition, unspecified
R09.1
Pleurisy

ICD-10-CM B33.0

Epidemic myalgia

2016

2017

2018

Billable/Specific Code

Applicable To

Bornholm disease

ICD-10-CM 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

ICD-10-CM J09.X2

Influenza due to identified novel influenza A virus with other respiratory manifestations

2016

2017

2018

Billable/Specific Code

Applicable To

Influenza due to identified novel influenza A virus NOS
Influenza due to identified novel influenza A virus with laryngitis
Influenza due to identified novel influenza A virus with pharyngitis
Influenza due to identified novel influenza A virus with upper respiratory symptoms

Use Additional

code, if applicable, for associated:
pleural effusion (J91.8)
sinusitis (J01.-)

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 J10.1

Influenza due to other identified influenza virus with other respiratory manifestations

2016

2017

2018

Billable/Specific Code

Applicable To

Influenza due to other identified influenza virus NOS
Influenza due to other identified influenza virus with laryngitis
Influenza due to other identified influenza virus with pharyngitis
Influenza due to other identified influenza virus with upper respiratory symptoms

Use Additional

code for associated pleural effusion, if applicable (J91.8)

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 J12.0

Adenoviral pneumonia

2016

2017

2018

Billable/Specific Code

ICD-10-CM J12.1

Respiratory syncytial virus pneumonia

2016

2017

2018

Billable/Specific Code

ICD-10-CM J12.2

Parainfluenza virus pneumonia

2016

2017

2018

Billable/Specific Code

ICD-10-CM J12.3

Human metapneumovirus pneumonia

2016

2017

2018

Billable/Specific Code

ICD-10-CM J12.81

Pneumonia due to SARS-associated coronavirus

2016

2017

2018

Billable/Specific Code

Applicable To

Severe acute respiratory syndrome NOS

ICD-10-CM J12.89

Other viral pneumonia

2016

2017

2018

Billable/Specific Code

ICD-10-CM J12.9

Viral pneumonia, unspecified

2016

2017

2018

Billable/Specific Code

ICD-10-CM J13

Pneumonia due to Streptococcus pneumoniae

2016

2017

2018

Billable/Specific Code

Applicable To

Bronchopneumonia due to S. pneumoniae

Code First

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

Code Also

associated abscess, if applicable (J85.1)

Type 1 Excludes

congenital pneumonia due to S. pneumoniae (P23.6)
lobar pneumonia, unspecified organism (J18.1)
pneumonia due to other streptococci (J15.3-J15.4)

ICD-10-CM J14

Pneumonia due to Hemophilus influenzae

2016

2017

2018

Billable/Specific Code

Applicable To

Bronchopneumonia due to H. influenzae

Code First

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

Code Also

associated abscess, if applicable (J85.1)

Type 1 Excludes

congenital pneumonia due to H. influenzae (P23.6)

ICD-10-CM J15.3

Pneumonia due to streptococcus, group B

2016

2017

2018

Billable/Specific Code

ICD-10-CM 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)

ICD-10-CM J15.7

Pneumonia due to Mycoplasma pneumoniae

2016

2017

2018

Billable/Specific Code

ICD-10-CM J15.9

Unspecified bacterial pneumonia

2016

2017

2018

Billable/Specific Code

Applicable To

Pneumonia due to gram-positive bacteria

ICD-10-CM J16.0

Chlamydial pneumonia

2016

2017

2018

Billable/Specific Code

ICD-10-CM J16.8

Pneumonia due to other specified infectious organisms

2016

2017

2018

Billable/Specific Code

ICD-10-CM J18.0

Bronchopneumonia, unspecified organism

2016

2017

2018

Billable/Specific Code

Type 1 Excludes

hypostatic bronchopneumonia (J18.2)
lipid pneumonia (J69.1)

Type 2 Excludes

acute bronchiolitis (J21.-)
chronic bronchiolitis (J44.9)

ICD-10-CM J18.1

Lobar pneumonia, unspecified organism

2016

2017

2018

Billable/Specific Code

ICD-10-CM J18.8

Other pneumonia, unspecified organism

2016

2017

2018

Billable/Specific Code

ICD-10-CM J18.9

Pneumonia, unspecified organism

2016

2017

2018

Billable/Specific Code

ICD-10-CM J92.0

Pleural plaque with presence of asbestos

2016

2017

2018

Billable/Specific Code

ICD-10-CM J92.9

Pleural plaque without asbestos

2016

2017

2018

Billable/Specific Code

Applicable To

Pleural plaque NOS

ICD-10-CM J94.1

Fibrothorax

2016

2017

2018

Billable/Specific Code

ICD-10-CM J94.9

Pleural condition, unspecified

2016

2017

2018

Billable/Specific Code

ICD-10-CM R09.1

Pleurisy

2016

2017

2018

Billable/Specific Code

Type 1 Excludes

pleurisy with effusion (J90)