ICD-10 codes for Influenza

The primary ICD-10-CM codes for influenza are J11, J11.1, J10. Across all sub-categories, 29 codes are grouped under influenza, with 21 marked as billable (specific enough for a medical claim).

There are 29 ICD-10-CM codes related to influenza. Of these, 21 are billable specific codes and 8 are non-billable header categories that organize the specific codes underneath them. Header codes cannot be reported on a claim by themselves.

Yes. 21 of the 29 ICD-10-CM codes for influenza are billable. Common examples include J09.X1 (Influenza due to ident novel influenza A virus w pneumonia); J09.X2 (Flu due to ident novel influenza A virus w oth resp manifest); J09.X3 (Influenza due to ident novel influenza A virus w GI manifest). Code to the highest level of specificity supported by the documentation.

The most commonly used billable codes for influenza include: J09.X1 (Influenza due to ident novel influenza A virus w pneumonia); J09.X2 (Flu due to ident novel influenza A virus w oth resp manifest); J09.X3 (Influenza due to ident novel influenza A virus w GI manifest). The correct code depends on the documented clinical presentation, including any complications, episode (acute / chronic), and laterality where applicable. Always code to the highest level of specificity supported by the clinical documentation.

No, J11 (Influenza due to unidentified influenza virus) is a non-billable header code. You need to use a more specific child code for billing purposes.

The ICD-10 codes for influenza map to at least 25 SNOMED CT concepts. Examples of SNOMED CT concept IDs in this group include 1011000124101, 181000124108, 231000124101, 441043003, 441343005. SNOMED CT is a clinical terminology used in electronic health records; AutoICD's coding API returns SNOMED CT IDs alongside each ICD-10 code via the include_snomed=true flag.

The ICD-10 codes for influenza are linked to at least 25 UMLS CUIs in the National Library of Medicine's Metathesaurus. Sample CUIs include C2712970, C0016627, C2076596, C3264381, C3264382. UMLS CUIs unify the same concept across SNOMED CT, ICD-10, ICD-11, RxNorm, MeSH, and dozens of other source vocabularies.

Influenza may also be referred to as: influenza, flu, seasonal flu, H1N1, influenza A, influenza B. The same ICD-10-CM codes apply regardless of which term appears in the clinical documentation. Synonyms are surfaced by AutoICD's NER pass and mapped to the canonical ICD-10 family above.