All ICD10 Codes

J09-J18

Non-Billable
ChapterJ00–J99
Rankblock
Official Description

Influenza and pneumonia (J09-J18)

Use a more specific code (3 billable, 7 non-billable)
J09Influenza due to certain identified influenza viruseshas subcodesJ10Influenza due to other identified influenza virushas subcodesJ11Influenza due to unidentified influenza virushas subcodesJ12Viral pneumonia, not elsewhere classifiedhas subcodesJ13Pneumonia due to Streptococcus pneumoniaeJ14Pneumonia due to Hemophilus influenzaeJ15Bacterial pneumonia, not elsewhere classifiedhas subcodesJ16Pneumonia due to other infectious organisms, not elsewhere classifiedhas subcodesJ17Pneumonia in diseases classified elsewhereJ18Pneumonia, unspecified organismhas subcodes
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 10: Diseases of the Respiratory System (J00-J99).

CH10 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • 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
  • 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)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • 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)
Use Additional Code
  • code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J09-J18Influenza and pneumonia (J09-J18)Not billable
J09Influenza due to certain identified influenza virusesSubcodes
J10Influenza due to other identified influenza virusSubcodes
J11Influenza due to unidentified influenza virusSubcodes
J12Viral pneumonia, not elsewhere classifiedSubcodes
J13Pneumonia due to Streptococcus pneumoniaeBillable
J14Pneumonia due to Hemophilus influenzaeBillable
J15Bacterial pneumonia, not elsewhere classifiedSubcodes
J16Pneumonia due to other infectious organisms, not elsewhere classifiedSubcodes
J17Pneumonia in diseases classified elsewhereBillable
J18Pneumonia, unspecified organismSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J09-J18:

chapterCH10
Diseases of the respiratory system (J00-J99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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