2021 ICD-10-CM Diagnosis Code J12.82

Pneumonia due to coronavirus disease 2019

    2021 - New Code Billable/Specific Code
  • J12.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • ICD-10-CM J12.82 is a new 2021 ICD-10-CM code that became effective on October 1, 2020.
  • This is the American ICD-10-CM version of J12.82 - other international versions of ICD-10 J12.82 may differ.
Applicable To
  • Pneumonia due to 2019 novel coronavirus (SARS-CoV-2)
  • Pneumonia due to COVID-19
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • COVID-19 (
    ICD-10-CM Diagnosis Code U07.1

    COVID-19

      2021 - New Code Billable/Specific Code
    Type 1 Excludes
    • coronavirus infection, unspecified (B34.2)
    • coronavirus as the cause of diseases classified elsewhere (B97.2-)
    • pneumonia due to SARS-associated coronavirus (J12.81)
    Use Additional
    • code to identify pneumonia or other manifestations
    U07.1
    )
The following code(s) above J12.82 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 J12.82:
  • 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
  • J12
    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.-)
    Viral pneumonia, not elsewhere classified
ICD-10-CM J12.82 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
  • 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
Code History
  • 2021 (effective 10/1/2020): New code
Code annotations containing back-references to J12.82:
  • Code Also: M35.81
    ICD-10-CM Diagnosis Code M35.81

    Multisystem inflammatory syndrome

      2021 - New Code Billable/Specific Code
    Applicable To
    • MIS-A
    • MIS-C
    • Multisystem inflammatory syndrome in adults
    • Multisystem inflammatory syndrome in children
    • Pediatric inflammatory multisystem syndrome
    • PIMS
    Code First
    • , if applicable, COVID-19 (U07.1)
    Code Also
    • any associated complications such as:
    • acute hepatic failure (K72.0-)
    • acute kidney failure (N17.-)
    • acute myocarditis (I40.-)
    • acute respiratory distress syndrome (J80)
    • cardiac arrhythmia (I47-I49.-)
    • pneumonia due to COVID-19 (J12.82)
    • severe sepsis (R65.2-)
    • viral cardiomyopathy (B33.24)
    • viral pericarditis (B33.23)
    Use Additional
    • code, if applicable, for:
    • exposure to COVID-19 or SARS-CoV-2 infection (Z20.822)
    • personal history of COVID-19 (Z86.16)
    • sequelae of COVID-19 (B94.8)

Diagnosis Index entries containing back-references to J12.82:
  • COVID-19 U07.1
    ICD-10-CM Diagnosis Code U07.1

    COVID-19

      2021 - New Code Billable/Specific Code
    Type 1 Excludes
    • coronavirus infection, unspecified (B34.2)
    • coronavirus as the cause of diseases classified elsewhere (B97.2-)
    • pneumonia due to SARS-associated coronavirus (J12.81)
    Use Additional
    • code to identify pneumonia or other manifestations
    • pneumonia J12.82
  • 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 Billable/Specific Code
    • 2019 (novel) coronavirus J12.82
    • coronavirus (novel) (disease) 2019 J12.82
    • COVID-19 J12.82
    • SARS-CoV-2 J12.82
  • Syndrome - see also Disease
    • severe acute respiratory (SARS) J12.81
      ICD-10-CM Diagnosis Code J12.81

      Pneumonia due to SARS-associated coronavirus

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Severe acute respiratory syndrome NOS
      • coronavirus 2 U07.1
        - see also COVID-19
        ICD-10-CM Diagnosis Code U07.1

        COVID-19

          2021 - New Code Billable/Specific Code
        Type 1 Excludes
        • coronavirus infection, unspecified (B34.2)
        • coronavirus as the cause of diseases classified elsewhere (B97.2-)
        • pneumonia due to SARS-associated coronavirus (J12.81)
        Use Additional
        • code to identify pneumonia or other manifestations
        • pneumonia J12.82

ICD-10-CM Codes Adjacent To J12.82
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
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.