2021 ICD-10-CM Diagnosis Code J09.X1

Influenza due to identified novel influenza A virus with pneumonia

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • J09.X1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Influenza due to ident novel influenza A virus w pneumonia
  • The 2021 edition of ICD-10-CM J09.X1 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of J09.X1 - other international versions of ICD-10 J09.X1 may differ.
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.
  • , if applicable, associated:
  • lung abscess (
    ICD-10-CM Diagnosis Code J85.1

    Abscess of lung with pneumonia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Code Also
    • the type of pneumonia
    J85.1
    )
  • other specified type of pneumonia
The following code(s) above J09.X1 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 J09.X1:
  • J00-J99
    2021 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
    2021 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
  • J09
    ICD-10-CM Diagnosis Code J09

    Influenza due to certain identified influenza viruses

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • influenza A/H1N1 (J10.-)
    • influenza due to other identified influenza virus (J10.-)
    • influenza due to unidentified influenza virus (J11.-)
    • seasonal influenza due to other identified influenza virus (J10.-)
    • seasonal influenza due to unidentified influenza virus (J11.-)
    Influenza due to certain identified influenza viruses
  • J09.X
    ICD-10-CM Diagnosis Code J09.X

    Influenza due to identified novel influenza A virus

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Avian influenza
    • Bird influenza
    • Influenza A/H5N1
    • Influenza of other animal origin, not bird or swine
    • Swine influenza virus (viruses that normally cause infections in pigs)
    Influenza due to identified novel influenza A virus
Approximate Synonyms
  • Influenza a with pneumonia
  • Influenza, avian with viral pneumonia
  • Pneumonia due to avian influenza
ICD-10-CM J09.X1 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 193 Simple pneumonia and pleurisy with mcc
  • 194 Simple pneumonia and pleurisy with cc
  • 195 Simple pneumonia and pleurisy without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems
  • 974 Hiv with major related condition with mcc
  • 975 Hiv with major related condition with cc
  • 976 Hiv with major related condition without cc/mcc

Convert J09.X1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to J09.X1:
  • Code First: J12
    , J13
    , J14
    , J15
    , J16
    , J18
    ICD-10-CM Diagnosis Code J12

    Viral pneumonia, not elsewhere classified

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Includes
    • bronchopneumonia due to viruses other than influenza viruses
    Type 1 Excludes
    • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
    • aspiration pneumonia due to anesthesia during pregnancy (O29)
    • aspiration pneumonia due to anesthesia during puerperium (O89.0)
    • aspiration pneumonia due to solids and liquids (J69.-)
    • aspiration pneumonia NOS (J69.0)
    • congenital pneumonia (P23.0)
    • congenital rubella pneumonitis (P35.0)
    • interstitial pneumonia NOS (J84.9)
    • lipid pneumonia (J69.1)
    • neonatal aspiration pneumonia (P24.-)
    ICD-10-CM Diagnosis Code J13

    Pneumonia due to Streptococcus pneumoniae

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Bronchopneumonia due to S. pneumoniae
    Code First
    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 Diagnosis Code J14

    Pneumonia due to Hemophilus influenzae

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Bronchopneumonia due to H. influenzae
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Type 1 Excludes
    • congenital pneumonia due to H. influenzae (P23.6)
    ICD-10-CM Diagnosis Code J15

    Bacterial pneumonia, not elsewhere classified

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Includes
    • bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae
    Type 1 Excludes
    • chlamydial pneumonia (J16.0)
    • congenital pneumonia (P23.-)
    • Legionnaires' disease (A48.1)
    • spirochetal pneumonia (A69.8)
    ICD-10-CM Diagnosis Code J16

    Pneumonia due to other infectious organisms, not elsewhere classified

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Type 1 Excludes
    • congenital pneumonia (P23.-)
    • ornithosis (A70)
    • pneumocystosis (B59)
    • pneumonia NOS (J18.9)
    ICD-10-CM Diagnosis Code J18

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code First
    Type 1 Excludes
    • abscess of lung with pneumonia (J85.1)
    • aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
    • aspiration pneumonia due to anesthesia during pregnancy (O29)
    • aspiration pneumonia due to anesthesia during puerperium (O89.0)
    • aspiration pneumonia due to solids and liquids (J69.-)
    • aspiration pneumonia NOS (J69.0)
    • congenital pneumonia (P23.0)
    • drug-induced interstitial lung disorder (J70.2-J70.4)
    • interstitial pneumonia NOS (J84.9)
    • lipid pneumonia (J69.1)
    • neonatal aspiration pneumonia (P24.-)
    • pneumonitis due to external agents (J67-J70)
    • pneumonitis due to fumes and vapors (J68.0)
    • usual interstitial pneumonia (J84.178)

Diagnosis Index entries containing back-references to J09.X1:
  • Influenza (bronchial) (epidemic) (respiratory (upper)) (unidentified influenza virus) J11.1
    ICD-10-CM Diagnosis Code J11.1

    Influenza due to unidentified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Influenza NOS
    • Influenzal laryngitis NOS
    • Influenzal pharyngitis NOS
    • Influenza with upper respiratory symptoms NOS
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    • due to
      • identified novel influenza A virus J09.X2
        ICD-10-CM Diagnosis Code J09.X2

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

          2016 2017 2018 2019 2020 2021 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.-)
        • with
          • pneumonia J09.X1

ICD-10-CM Codes Adjacent To J09.X1
J05 Acute obstructive laryngitis [croup] and epiglottitis
J05.0 Acute obstructive laryngitis [croup]
J05.1 Acute epiglottitis
J05.10 …… without obstruction
J05.11 …… with obstruction
J06 Acute upper respiratory infections of multiple and unspecified sites
J06.0 Acute laryngopharyngitis
J06.9 Acute upper respiratory infection, unspecified
J09 Influenza due to certain identified influenza viruses
J09.X Influenza due to identified novel influenza A virus
J09.X1 …… with pneumonia
J09.X2 …… with other respiratory manifestations
J09.X3 …… with gastrointestinal manifestations
J09.X9 …… with other manifestations
J10 Influenza due to other identified influenza virus
J10.0 Influenza due to other identified influenza virus with pneumonia
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
J10.2 Influenza due to other identified influenza virus with gastrointestinal manifestations

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