2020 ICD-10-CM Diagnosis Code J85.1

Abscess of lung with pneumonia

    2016 2017 2018 2019 2020 Billable/Specific Code
  • J85.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM J85.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J85.1 - other international versions of ICD-10 J85.1 may differ.
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.
  • the type of pneumonia
The following code(s) above J85.1 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 J85.1:
  • J00-J99
    2020 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
  • J85
    ICD-10-CM Diagnosis Code J85

    Abscess of lung and mediastinum

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code (B95-B97) to identify infectious agent.
    Abscess of lung and mediastinum
Approximate Synonyms
  • Lung abscess with pneumonia
ICD-10-CM J85.1 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 177 Respiratory infections and inflammations with mcc
  • 178 Respiratory infections and inflammations with cc
  • 179 Respiratory infections and inflammations without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert J85.1 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
Code annotations containing back-references to J85.1:
  • Code Also: J09.X1
    , J10.0
    , J11.0
    , J12
    , J13
    , J14
    , J15
    , J16
    ICD-10-CM Diagnosis Code J09.X1

    Influenza due to identified novel influenza A virus with pneumonia

      2016 2017 2018 2019 2020 Billable/Specific Code
    Code Also
    • , if applicable, associated:
    • lung abscess (J85.1)
    • other specified type of pneumonia
    ICD-10-CM Diagnosis Code J10.0

    Influenza due to other identified influenza virus with pneumonia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • associated lung abscess, if applicable (J85.1)
    ICD-10-CM Diagnosis Code J11.0

    Influenza due to unidentified influenza virus with pneumonia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • associated lung abscess, if applicable (J85.1)
    ICD-10-CM Diagnosis Code J12

    Viral pneumonia, not elsewhere classified

      2016 2017 2018 2019 2020 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.-)
    ICD-10-CM Diagnosis Code J13

    Pneumonia due to Streptococcus pneumoniae

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Bronchopneumonia due to S. pneumoniae
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Type 1 Excludes
    • congenital pneumonia due to S. pneumoniae (P23.6)
    • lobar pneumonia, unspecified organism (J18.1)
    • pneumonia due to other streptococci (J15.3-J15.4)
    ICD-10-CM Diagnosis Code J14

    Pneumonia due to Hemophilus influenzae

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Bronchopneumonia due to H. influenzae
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Type 1 Excludes
    • congenital pneumonia due to H. influenzae (P23.6)
    ICD-10-CM Diagnosis Code J15

    Bacterial pneumonia, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Includes
    • bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae
    Type 1 Excludes
    • chlamydial pneumonia (J16.0)
    • congenital pneumonia (P23.-)
    • Legionnaires' disease (A48.1)
    • spirochetal pneumonia (A69.8)
    ICD-10-CM Diagnosis Code J16

    Pneumonia due to other infectious organisms, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    Code Also
    • associated abscess, if applicable (J85.1)
    Type 1 Excludes
    • congenital pneumonia (P23.-)
    • ornithosis (A70)
    • pneumocystosis (B59)
    • pneumonia NOS (J18.9)
  • Type 1 Excludes: J18
    ICD-10-CM Diagnosis Code J18

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    Type 1 Excludes
    • abscess of lung with pneumonia (J85.1)
    • 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)
    • drug-induced interstitial lung disorder (J70.2-J70.4)
    • interstitial pneumonia NOS (J84.9)
    • lipid pneumonia (J69.1)
    • neonatal aspiration pneumonia (P24.-)
    • pneumonitis due to external agents (J67-J70)
    • pneumonitis due to fumes and vapors (J68.0)
    • usual interstitial pneumonia (J84.17)

Diagnosis Index entries containing back-references to J85.1:
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) L02.91
    ICD-10-CM Diagnosis Code L02.91

    Cutaneous abscess, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    • lung (miliary) (putrid) J85.2
      ICD-10-CM Diagnosis Code J85.2

      Abscess of lung without pneumonia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Abscess of lung NOS
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
    ICD-10-CM Diagnosis Code J18.9

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 Billable/Specific Code

ICD-10-CM Codes Adjacent To J85.1
J84.83 Surfactant mutations of the lung
J84.84 Other interstitial lung diseases of childhood
J84.841 Neuroendocrine cell hyperplasia of infancy
J84.842 Pulmonary interstitial glycogenosis
J84.843 Alveolar capillary dysplasia with vein misalignment
J84.848 Other interstitial lung diseases of childhood
J84.89 Other specified interstitial pulmonary diseases
J84.9 Interstitial pulmonary disease, unspecified
J85 Abscess of lung and mediastinum
J85.0 Gangrene and necrosis of lung
J85.1 Abscess of lung with pneumonia
J85.2 Abscess of lung without pneumonia
J85.3 Abscess of mediastinum
J86 Pyothorax
J86.0 Pyothorax with fistula
J86.9 Pyothorax without fistula
J90 Pleural effusion, not elsewhere classified
J91 Pleural effusion in conditions classified elsewhere
J91.0 Malignant pleural effusion
J91.8 Pleural effusion in other conditions classified elsewhere
J92 Pleural plaque

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