Pneumonia ICD-10 Codes
All ICD-10-CM diagnosis codes for pneumonia
Pneumonia is a leading cause of hospitalization and death. ICD-10-CM codes vary by causative organism: J13 for Streptococcus pneumoniae, J15 for other bacterial, J12 for viral, and J18.9 for unspecified pneumonia. The organism-specific code should be used when the pathogen is identified.
Total Codes
40
Billable Codes
32
Categories
7
Primary Code Categories
These are the top-level ICD-10-CM categories for pneumonia. Click any code to see all specific subcodes.
J12Viral pneumonia, not elsewhere classified
J13Pneumonia due to Streptococcus pneumoniae
J14Pneumonia due to Hemophilus influenzae
J15Bacterial pneumonia, not elsewhere classified
J16Pneumonia due to oth infectious organisms, NEC
J17Pneumonia in diseases classified elsewhere
J18Pneumonia, unspecified organism
Billable/Specific Codes (32)
These are the specific, billable ICD-10-CM codes that can be used on medical claims for pneumonia.
J12.0Adenoviral pneumonia
J12.1Respiratory syncytial virus pneumonia
J12.2Parainfluenza virus pneumonia
J12.3Human metapneumovirus pneumonia
J12.81Pneumonia due to SARS-associated coronavirus
J12.82Pneumonia due to coronavirus disease 2019
J12.89Other viral pneumonia
J12.9Viral pneumonia, unspecified
J13Pneumonia due to Streptococcus pneumoniae
J14Pneumonia due to Hemophilus influenzae
J15.0Pneumonia due to Klebsiella pneumoniae
J15.1Pneumonia due to Pseudomonas
J15.20Pneumonia due to staphylococcus, unspecified
J15.211Pneumonia due to methicillin suscep staph
J15.212Pneumonia due to Methicillin resistant Staphylococcus aureus
J15.29Pneumonia due to other staphylococcus
J15.3Pneumonia due to streptococcus, group B
J15.4Pneumonia due to other streptococci
J15.5Pneumonia due to Escherichia coli
J15.61Pneumonia due to Acinetobacter baumannii
J15.69Pneumonia due to other Gram-negative bacteria
J15.7Pneumonia due to Mycoplasma pneumoniae
J15.8Pneumonia due to other specified bacteria
J15.9Unspecified bacterial pneumonia
J16.0Chlamydial pneumonia
J16.8Pneumonia due to other specified infectious organisms
J17Pneumonia in diseases classified elsewhere
J18.0Bronchopneumonia, unspecified organism
J18.1Lobar pneumonia, unspecified organism
J18.2Hypostatic pneumonia, unspecified organism
J18.8Other pneumonia, unspecified organism
J18.9Pneumonia, unspecified organism
Frequently Asked Questions
What is the ICD-10 code for pneumonia?
The primary ICD-10-CM codes for pneumonia are J18.9, J18, J13. There are 40 total codes related to pneumonia, of which 32 are billable/specific codes that can be used on medical claims.
How many ICD-10 codes are there for pneumonia?
There are 40 ICD-10-CM codes related to pneumonia. Of these, 32 are billable/specific codes. The remaining codes are non-billable header categories used to organize the specific codes underneath them.
Which pneumonia ICD-10 code should I use for billing?
The most commonly used billable codes for pneumonia include: J12.0 (Adenoviral pneumonia); J12.1 (Respiratory syncytial virus pneumonia); J12.2 (Parainfluenza virus pneumonia). The correct code depends on the specific clinical presentation. Always code to the highest level of specificity supported by the clinical documentation.
Is J18.9 a billable ICD-10 code?
Yes, J18.9 (Pneumonia, unspecified organism) is a billable/specific ICD-10-CM code that can be used on medical claims.
What are other names for pneumonia in ICD-10?
Pneumonia may also be referred to as: pneumonia, lung infection, community-acquired pneumonia, CAP, bacterial pneumonia, viral pneumonia. The same ICD-10-CM codes apply regardless of which term is used in the clinical documentation.
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