All ICD10 Codes

J12

Non-Billable
ChapterJ00–J99
Rankcategory
Official Description

Viral pneumonia, not elsewhere classified

Use a more specific code (5 billable, 1 non-billable)
J12.0Adenoviral pneumoniaJ12.1Respiratory syncytial virus pneumoniaJ12.2Parainfluenza virus pneumoniaJ12.3Human metapneumovirus pneumoniaJ12.8Other viral pneumoniahas subcodesJ12.9Viral pneumonia, unspecified
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

Includes
  • bronchopneumonia due to viruses other than influenza viruses
Excludes2(Not included here. Code separately if applicable.)
  • 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.-)
Code First
Code Also
  • associated abscess, if applicable (J85.1)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J09-J18Influenza and pneumonia (J09-J18)
J12Viral pneumonia, not elsewhere classifiedNot billable
J12.0Adenoviral pneumoniaBillable
J12.1Respiratory syncytial virus pneumoniaBillable
J12.2Parainfluenza virus pneumoniaBillable
J12.3Human metapneumovirus pneumoniaBillable
J12.8Other viral pneumoniaSubcodes
J12.9Viral pneumonia, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J12:

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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