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ICD-10-CM Codes
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J00-J99
Diseases of the respiratory system
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J09-J18
Influenza and pneumonia
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J11-
Influenza due to unidentified influenza virus
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2021 ICD-10-CM Diagnosis Code J11.0
2021 ICD-10-CM Diagnosis Code J11.0
Influenza due to unidentified influenza virus with pneumonia
2016 2017 2018 2019 2020 2021 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 2021 edition of ICD-10-CM J11.0 became effective on October 1, 2020.
- This is the American ICD-10-CM version of J11.0 - other international versions of ICD-10 J11.0 may differ.
Code AlsoCode 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.
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:
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 J11.0:
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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 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 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 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 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 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
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)
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.