ICD-10-CM Codes
J00-J99 Diseases of the respiratory system
J09-J18 Influenza and pneumonia
J13- Pneumonia due to Streptococcus pneumoniae
2021 ICD-10-CM Diagnosis Code J13

2021 ICD-10-CM Diagnosis Code J13

Pneumonia due to Streptococcus pneumoniae

2016

2017

2018

2019

2020

2021

Billable/Specific Code

J13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2021 edition of ICD-10-CM J13 became effective on October 1, 2020.
This is the American ICD-10-CM version of J13 - other international versions of ICD-10 J13 may differ.

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
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
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
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
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
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
J18.1
)
pneumonia due to other streptococci (
ICD-10-CM Diagnosis Code J15.3
Pneumonia due to streptococcus, group B
J15.3-
ICD-10-CM Diagnosis Code J15.4
Pneumonia due to other streptococci
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
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

Approximate Synonyms

Bronchopneumonia due to streptococcus pneumoniae
Pneumococcal bronchopneumonia
Pneumococcal pneumonia

Clinical Information

A febrile disease caused by streptococcus pneumoniae.

ICD-10-CM J13 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
791 Prematurity with major problems
793 Full term neonate with major problems
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 J13 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

Code annotations containing back-references to J13:

Type 1 Excludes: J15.4

ICD-10-CM Diagnosis Code J15.4
Pneumonia due to other streptococci
Type 1 Excludes
- pneumonia due to streptococcus, group B (J15.3)
- pneumonia due to Streptococcus pneumoniae (J13)
Use Additional: D59.3

ICD-10-CM Diagnosis Code D59.3
Hemolytic-uremic syndrome
Use Additional
- code to identify associated:
- E. coli infection (B96.2-)
- Pneumococcal pneumonia (J13)
- Shigella dysenteriae (A03.9)

Diagnosis Index entries containing back-references to J13:

Embolism (multiple) (paradoxical) I74.9
ICD-10-CM Diagnosis Code I74.9
Embolism and thrombosis of unspecified artery
- pyemic (multiple) I76
  ICD-10-CM Diagnosis Code I76
  Septic arterial embolism
  2016 2017 2018 2019 2020 2021 Billable/Specific Code
  Code First
  underlying infection, such as:
  infective endocarditis (I33.0)
  lung abscess (J85.-)
  Type 2 Excludes
  septic pulmonary embolism (I26.01, I26.90)
  Use Additional
  code to identify the site of the embolism (I74.-)
  - pneumococcal A40.3
    ICD-10-CM Diagnosis Code A40.3
    Sepsis due to Streptococcus pneumoniae
    2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    Pneumococcal sepsis
    - with pneumonia J13
Infection, infected, infective (opportunistic) B99.9
ICD-10-CM Diagnosis Code B99.9
Unspecified infectious disease
- pneumococcus, pneumococcal NEC A49.1
  ICD-10-CM Diagnosis Code A49.1
  Streptococcal infection, unspecified site
  2016 2017 2018 2019 2020 2021 Billable/Specific Code
  - generalized (purulent) A40.3
    ICD-10-CM Diagnosis Code A40.3
    Sepsis due to Streptococcus pneumoniae
    2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    Pneumococcal sepsis
    - with pneumonia J13
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
ICD-10-CM Diagnosis Code J18.9
Pneumonia, unspecified organism
- broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) J18.0
  ICD-10-CM Diagnosis Code J18.0
  Bronchopneumonia, unspecified organism
  2016 2017 2018 2019 2020 2021 Billable/Specific Code
  Type 1 Excludes
  hypostatic bronchopneumonia (J18.2)
  lipid pneumonia (J69.1)
  Type 2 Excludes
  acute bronchiolitis (J21.-)
  chronic bronchiolitis (J44.9)
  - streptococcal NEC J15.4
    ICD-10-CM Diagnosis Code J15.4
    Pneumonia due to other streptococci
    2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    pneumonia due to streptococcus, group B (J15.3)
    pneumonia due to Streptococcus pneumoniae (J13)
    - pneumoniae J13
  - diplococcal J13
  - pneumococcal J13
- in (due to)
  - Streptococcus J15.4
    ICD-10-CM Diagnosis Code J15.4
    Pneumonia due to other streptococci
    2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    pneumonia due to streptococcus, group B (J15.3)
    pneumonia due to Streptococcus pneumoniae (J13)
    - pneumoniae J13
  - Diplococcus J13 (pneumoniae)
  - pneumococcus J13
- lobar (disseminated) (double) (interstitial) J18.1
  ICD-10-CM Diagnosis Code J18.1
  Lobar pneumonia, unspecified organism
  2016 2017 2018 2019 2020 2021 Billable/Specific Code
  - pneumococcal J13
  - Streptococcus pneumoniae J13
- diplococcal, diplococcus J13 (broncho-) (lobar)
- pneumococcal J13 (broncho) (lobar)
- Streptococcus pneumoniae J13

ICD-10-CM Codes Adjacent To J13

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

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.

2021 ICD-10-CM Diagnosis Code J13

Pneumonia due to Streptococcus pneumoniae

Influenza due to identified novel influenza A virus with pneumonia

Influenza due to other identified influenza virus with pneumonia

Influenza due to unidentified influenza virus with pneumonia

Abscess of lung with pneumonia

Congenital pneumonia due to other bacterial agents

Lobar pneumonia, unspecified organism

Pneumonia due to streptococcus, group B

Pneumonia due to other streptococci

Diseases of the respiratory system

Influenza and pneumonia

Pneumonia due to other streptococci

Hemolytic-uremic syndrome

Embolism and thrombosis of unspecified artery

Septic arterial embolism

Sepsis due to Streptococcus pneumoniae

Unspecified infectious disease

Streptococcal infection, unspecified site

Sepsis due to Streptococcus pneumoniae

Pneumonia, unspecified organism

Bronchopneumonia, unspecified organism

Pneumonia due to other streptococci

Pneumonia due to other streptococci

Lobar pneumonia, unspecified organism