2018/2019

  1. ICD-10-CM Codes
    2. ›
  2. J00-J99 Diseases of the respiratory system
    3. ›
  3. J09-J18 Influenza and pneumonia
    4. ›
  4. J13- Pneumonia due to Streptococcus pneumoniae
    5. ›

2018/2019 ICD-10-CM Diagnosis Code J13

Pneumonia due to Streptococcus pneumoniae

Applicable To
  • Bronchopneumonia due to S. pneumoniae
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.
  • associated influenza, if applicable (
    ICD-10-CM Diagnosis Code J09.X1

    Influenza due to identified novel influenza A virus with pneumonia

      2016 2017 2018 2019 Billable/Specific Code
    Code Also
    • , if applicable, associated:
    • lung abscess (J85.1)
    • other specified type of pneumonia
    J09.X1
    ,
    ICD-10-CM Diagnosis Code J10.0

    Influenza due to other identified influenza virus with pneumonia

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code Also
    • associated lung abscess, if applicable (J85.1)
    J10.0-
    ,
    ICD-10-CM Diagnosis Code J11.0

    Influenza due to unidentified influenza virus with pneumonia

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code Also
    • associated lung abscess, if applicable (J85.1)
    J11.0-
    )
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 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
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J13. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • congenital pneumonia due to S. pneumoniae (
    ICD-10-CM Diagnosis Code P23.6

    Congenital pneumonia due to other bacterial agents

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Congenital pneumonia due to Hemophilus influenzae
    • Congenital pneumonia due to Klebsiella pneumoniae
    • Congenital pneumonia due to Mycoplasma
    • Congenital pneumonia due to Streptococcus, except group B
    Use Additional
    • code (B95-B96) to identify organism
    P23.6
    )
  • lobar pneumonia, unspecified organism (
    ICD-10-CM Diagnosis Code J18.1

    Lobar pneumonia, unspecified organism

      2016 2017 2018 2019 Billable/Specific Code
    J18.1
    )
  • pneumonia due to other streptococci (
    ICD-10-CM Diagnosis Code J15.3

    Pneumonia due to streptococcus, group B

      2016 2017 2018 2019 Billable/Specific Code
    J15.3-
    ICD-10-CM Diagnosis Code J15.4

    Pneumonia due to other streptococci

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • pneumonia due to streptococcus, group B (J15.3)
    • pneumonia due to Streptococcus pneumoniae (J13)
    J15.4
    )
The following code(s) above J13 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 J13:
  • 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
Approximate Synonyms Clinical Information ICD-10-CM J13 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

Convert J13 to ICD-9-CM

Code History
Code annotations containing back-references to J13:

Diagnosis Index entries containing back-references to J13:

ICD-10-CM Codes Adjacent To J13
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
J15.211 Pneumonia due to Methicillin susceptible Staphylococcus aureus
J15.212 Pneumonia due to Methicillin resistant Staphylococcus aureus
J15.29 Pneumonia due to other staphylococcus

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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