J09

Non-Billable
ChapterJ00–J99
Rankcategory
Official Description

Influenza due to certain identified influenza viruses

Use a more specific code (0 billable, 1 non-billable)
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)

J09-J18 Parent Instructions

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.-)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • influenza A/H1N1 (J10.-)
  • influenza due to other identified influenza virus (J10.-)
  • influenza due to unidentified influenza virus (J11.-)
  • seasonal influenza due to other identified influenza virus (J10.-)
  • seasonal influenza due to unidentified influenza virus (J11.-)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J09-J18Influenza and pneumonia (J09-J18)
J09Influenza due to certain identified influenza virusesNot billable
J09.XInfluenza due to identified novel influenza A virusSubcodes

Applicable Ancestor Context

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

blockJ09-J18
Influenza and pneumonia (J09-J18)
View context instructions
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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