2019 ICD-10-CM Diagnosis Code J12.81

Pneumonia due to SARS-associated coronavirus

    2016 2017 2018 2019 Billable/Specific Code
  • J12.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM J12.81 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of J12.81 - other international versions of ICD-10 J12.81 may differ.
Applicable To
  • Severe acute respiratory syndrome NOS
The following code(s) above J12.81 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 J12.81:
  • 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
  • J12
    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.-)
    Viral pneumonia, not elsewhere classified
Approximate Synonyms
  • Pneumonia due to sars
  • Pneumonia due to severe acute respiratory syndrome coronavirus
  • Sars (severe acute respiratory distress syndrome)
  • Severe acute respiratory syndrome
Clinical Information
  • A viral disorder characterized by high fever, dry cough, shortness of breath (dyspnea) or breathing difficulties, and atypical pneumonia. A virus in the genus coronavirus is the suspected agent.
  • A viral respiratory infection caused by the sars coronavirus. It is transmitted through close person-to-person contact. It is manifested with high fever, headache, dry cough and myalgias. It may progress to pneumonia and cause death.
  • Severe acute respiratory syndrome (sars) is a respiratory illness caused by a virus. Sars was first reported in Asia in 2003. It spread worldwide over several months before the outbreak ended.sars can be life-threatening. Symptoms include
    • a high fever
    • headache
    • body aches
    • a dry cough
    • pneumonia, later on
    sars seems to spread mainly by close person-to-person contact. When an infected person coughs or sneezes, they send droplets of mucus or saliva that contain the virus through the air. You could get sars if the droplets land on your mouth, nose or eyes. Kissing, touching, sharing utensils for eating and drinking, or talking with an infected person can also put you at risk. Frequently washing your hands with soap and water might help prevent infection if you travel to countries with sars. There is no treatment for sars. Scientists are testing treatments and vaccines. Centers for Disease Control and Prevention.
  • Viral disorder characterized by high fever, dry cough, shortness of breath (dyspnea) or breathing difficulties, and atypical pneumonia, a virus in the genus cornonavirus is the suspected causative agent.
ICD-10-CM J12.81 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 193 Simple pneumonia and pleurisy with mcc
  • 194 Simple pneumonia and pleurisy with cc
  • 195 Simple pneumonia and pleurisy without cc/mcc
  • 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 J12.81 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
Code annotations containing back-references to J12.81:
  • Type 1 Excludes: B34.2
    , B97.21
    ICD-10-CM Diagnosis Code B34.2

    Coronavirus infection, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • pneumonia due to SARS-associated coronavirus (J12.81)
    ICD-10-CM Diagnosis Code B97.21

    SARS-associated coronavirus as the cause of diseases classified elsewhere

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • pneumonia due to SARS-associated coronavirus (J12.81)

Diagnosis Index entries containing back-references to J12.81:
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
    ICD-10-CM Diagnosis Code J18.9

    Pneumonia, unspecified organism

      2016 2017 2018 2019 Billable/Specific Code
    • viral, virus (broncho) (interstitial) (lobar) J12.9
      ICD-10-CM Diagnosis Code J12.9

      Viral pneumonia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • SARS-associated coronavirus J12.81
    • SARS-associated coronavirus J12.81
  • Syndrome - see also Disease
    • severe acute respiratory J12.81 (SARS)

ICD-10-CM Codes Adjacent To J12.81
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
J12.89 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
J15.0 Pneumonia due to Klebsiella pneumoniae
J15.1 Pneumonia due to Pseudomonas
J15.2 Pneumonia due to staphylococcus
J15.20 …… unspecified
J15.21 Pneumonia due to staphylococcus aureus

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