-
ICD-10-CM Codes
›
-
J00-J99
›
-
J09-J18
›
-
J13-
›
-
2023 ICD-10-CM Diagnosis Code J13
2023 ICD-10-CM Diagnosis Code J13
Pneumonia due to Streptococcus pneumoniae
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
- J13 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 J13 became effective on October 1, 2022.
- 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 FirstCode 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 2020 2021 2022 2023 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 2020 2021 2022 2023 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 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Code Also- associated lung abscess, if applicable (J85.1)
J11.0-)
Code AlsoCode 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.
Type 1 ExcludesType 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 2020 2021 2022 2023 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 2020 2021 2022 2023 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 2020 2021 2022 2023 Billable/Specific Code
J15.3-ICD-10-CM Diagnosis Code J15.4
Pneumonia due to other streptococci
2016 2017 2018 2019 2020 2021 2022 2023 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:
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 v40.0):
- 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
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
Code annotations containing back-references to J13:
- Embolism (multiple) (paradoxical) I74.9
ICD-10-CM Diagnosis Code I74.9
Embolism and thrombosis of unspecified artery
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
- pyemic (multiple) I76
ICD-10-CM Diagnosis Code I76
Septic arterial embolism
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Code First- underlying infection, such as:
- infective endocarditis (I33.0)
- lung abscess (J85.-)
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 2022 2023 Billable/Specific Code
- 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
- pneumococcus, pneumococcal NEC A49.1
ICD-10-CM Diagnosis Code A49.1
Streptococcal infection, unspecified site
2016 2017 2018 2019 2020 2021 2022 2023 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 2022 2023 Billable/Specific Code
- 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
- 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 2022 2023 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 2022 2023 Billable/Specific Code
Type 1 Excludes- pneumonia due to streptococcus, group B (J15.3)
- pneumonia due to Streptococcus 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 2022 2023 Billable/Specific Code
Type 1 Excludes- pneumonia due to streptococcus, group B (J15.3)
- pneumonia due to Streptococcus 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 2022 2023 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
J12.9 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
J15.21 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.