2023

  1. ICD-10-CM Codes
    2. ›
  2. J00-J99
    3. ›
  3. J09-J18
    4. ›
  4. J12-
    5. ›
  5. 2023 ICD-10-CM Diagnosis Code J12.1

2023 ICD-10-CM Diagnosis Code J12.1

Respiratory syncytial virus pneumonia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • J12.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM J12.1 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of J12.1 - other international versions of ICD-10 J12.1 may differ.
Applicable To
  • RSV pneumonia
The following code(s) above J12.1 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 J12.1:
  • J00-J99
    2023 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
    2023 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
  • J12
    ICD-10-CM Diagnosis Code J12

    Viral pneumonia, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 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.-)
    Viral pneumonia, not elsewhere classified
Approximate Synonyms
  • Bronchopneumonia due to respiratory syncytial virus
  • Pneumonia due to respiratory syncytial virus
  • Respiratory syncytial virus (rsv) bronchopneumonia
  • Respiratory syncytial virus (rsv) pneumonia
ICD-10-CM J12.1 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 193 Simple pneumonia and pleurisy with mcc
  • 194 Simple pneumonia and pleurisy with cc
  • 195 Simple pneumonia and pleurisy without cc/mcc

Convert J12.1 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
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to J12.1:
  • Type 1 Excludes: B97.4
    ICD-10-CM Diagnosis Code B97.4

    Respiratory syncytial virus as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • RSV as the cause of diseases classified elsewhere
    Code First
    • related disorders, such as:
    • otitis media (H65.-)
    • upper respiratory infection (J06.9)
    Type 1 Excludes
    • acute bronchiolitis due to respiratory syncytial virus (RSV) (J21.0)
    • acute bronchitis due to respiratory syncytial virus (RSV) (J20.5)
    • respiratory syncytial virus (RSV) pneumonia (J12.1)

Diagnosis Index entries containing back-references to J12.1:
  • Infection, infected, infective (opportunistic) B99.9
    ICD-10-CM Diagnosis Code B99.9

    Unspecified infectious disease

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • virus, viral NOS B34.9
      ICD-10-CM Diagnosis Code B34.9

      Viral infection, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Viremia NOS
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
    ICD-10-CM Diagnosis Code J18.9

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • in (due to)
      • respiratory syncytial virus J12.1 (RSV)
    • viral, virus (broncho) (interstitial) (lobar) J12.9
      ICD-10-CM Diagnosis Code J12.9

      Viral pneumonia, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • respiratory syncytial J12.1 (RSV)
    • respiratory syncytial virus J12.1 (RSV)
  • Virus, viral - see also condition

ICD-10-CM Codes Adjacent To J12.1
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
J12.0 Adenoviral pneumonia
J12.1 Respiratory syncytial virus pneumonia
J12.2 Parainfluenza virus pneumonia
J12.3 Human metapneumovirus pneumonia
J12.8 Other viral pneumonia
J12.81 Pneumonia due to SARS-associated coronavirus
J12.82 Pneumonia due to coronavirus disease 2019
J12.89 Other viral pneumonia
J12.9 Viral pneumonia, unspecified
J13 Pneumonia due to Streptococcus pneumoniae
J14 Pneumonia due to Hemophilus influenzae
J15 Bacterial 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.

Advertise with Us | License ICD10 Data

Copyright © | ICD10data.com