AutoICD API

J12.1

Billable

Respiratory syncytial virus pneumonia

Respiratory syncytial virus pneumonia

Status

Billable / Specific

Block

J09-J18

Parent Code

J12

Coding Notes

Inclusion Terms

Alternative clinical terms for this condition

  • RSV pneumonia

Includes

Conditions included under this code

  • bronchopneumonia due to viruses other than influenza viruses

Excludes 2

Conditions not included here, but the patient may have both

  • 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)
  • 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)
  • 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.-)
  • congenital pneumonia (P23.0)
  • congenital rubella pneumonitis (P35.0)
  • interstitial pneumonia NOS (J84.9)

Code First

The underlying condition must be sequenced before this code

Use Additional Code

Additional codes that should follow this 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)
  • code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

Code Also

A second code may be required; sequencing depends on circumstances

  • associated abscess, if applicable (J85.1)

Also Known As / Clinical Terms

SNOMED CT

UMLS

Frequently Asked Questions

What is ICD-10 code J12.1?

ICD-10-CM code J12.1 represents "Respiratory syncytial virus pneumonia". It is a billable/specific code that can be used on a claim.

Is J12.1 a billable code?

Yes, J12.1 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.

What chapter is J12.1 in?

J12.1 is in Chapter 10: Diseases of the Respiratory System (codes J00-J99).

Are additional codes required with J12.1?

Yes, when using J12.1 you should also 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); code, if applicable, to identify resistance to antimicrobial drugs (Z16.-).

What SNOMED CT codes does J12.1 map to?

J12.1 maps to 4 SNOMED CT concepts: 10625551000119103, 10625751000119106, 195881003, 79479005. SNOMED CT is a clinical terminology used in electronic health records.

What are the UMLS CUIs for J12.1?

J12.1 is linked to 1 UMLS Concept Unique Identifier: C0152413. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.