J15

Non-Billable
ChapterJ00–J99
Rankcategory
Official Description

Bacterial pneumonia, not elsewhere classified

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 bacteria other than S. pneumoniae and H. influenzae
Excludes1(Not coded here. Use a different code.)
  • chlamydial pneumonia (J16.0)
  • congenital pneumonia (P23.-)
  • Legionnaires' disease (A48.1)
  • spirochetal pneumonia (A69.8)
Code First
Code Also
  • , if applicable, any associated condition such as:
  • abscess (J85.1)
  • aspiration pneumonia (J69.-)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J09-J18Influenza and pneumonia (J09-J18)
J15Bacterial pneumonia, not elsewhere classifiedNot billable
J15.0Pneumonia due to Klebsiella pneumoniaeBillable
J15.1Pneumonia due to PseudomonasBillable
J15.2Pneumonia due to staphylococcusSubcodes
J15.3Pneumonia due to streptococcus, group BBillable
J15.4Pneumonia due to other streptococciBillable
J15.5Pneumonia due to Escherichia coliBillable
J15.6Pneumonia due to other Gram-negative bacteriaSubcodes
J15.7Pneumonia due to Mycoplasma pneumoniaeBillable
J15.8Pneumonia due to other specified bacteriaBillable
J15.9Unspecified bacterial pneumoniaBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J15:

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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