2019

  1. ICD-10-CM Codes
    2. ›
  2. J00-J99 Diseases of the respiratory system
    3. ›
  3. J09-J18 Influenza and pneumonia
    4. ›
  4. J11- Influenza due to unidentified influenza virus
    5. ›

2019 ICD-10-CM Diagnosis Code J11.0

Influenza due to unidentified influenza virus with pneumonia

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • J11.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM J11.0 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of J11.0 - other international versions of ICD-10 J11.0 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.
  • associated lung abscess, if applicable (
    ICD-10-CM Diagnosis Code J85.1

    Abscess of lung with pneumonia

      2016 2017 2018 2019 Billable/Specific Code
    Code Also
    • the type of pneumonia
    J85.1
    )
The following code(s) above J11.0 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 J11.0:
  • J00-J99
    2019 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
    2019 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
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
Code annotations containing back-references to J11.0:
  • Code First: J12
    , J13
    , J14
    , J15
    , J16
    , J18
    ICD-10-CM Diagnosis Code J12

    Viral pneumonia, not elsewhere classified

      2016 2017 2018 2019 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 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 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 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 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 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 (J84.17)
ICD-10-CM Codes Adjacent To J11.0
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
J10.8 Influenza due to other identified influenza virus with other manifestations
J10.81 Influenza due to other identified influenza virus with encephalopathy
J10.82 Influenza due to other identified influenza virus with myocarditis
J10.83 Influenza due to other identified influenza virus with otitis media
J10.89 Influenza due to other identified influenza virus with other manifestations
J11 Influenza due to unidentified influenza virus
J11.0 Influenza due to unidentified influenza virus with pneumonia
J11.00 Influenza due to unidentified influenza virus with unspecified type of pneumonia
J11.08 Influenza due to unidentified influenza virus with specified pneumonia
J11.1 Influenza due to unidentified influenza virus with other respiratory manifestations
J11.2 Influenza due to unidentified influenza virus with gastrointestinal manifestations
J11.8 Influenza due to unidentified influenza virus with other manifestations
J11.81 Influenza due to unidentified influenza virus with encephalopathy
J11.82 Influenza due to unidentified influenza virus with myocarditis
J11.83 Influenza due to unidentified influenza virus with otitis media
J11.89 Influenza due to unidentified influenza virus with other manifestations
J12 Viral pneumonia, not elsewhere classified

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

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