J09-J18
Influenza and pneumonia
Block coding notes
Excludes 1 never together · Excludes 2 may co-exist
Excludes 2
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, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
Codes in this block
69 codes
Billableusable codeNon-billableheader / grouping codeRisk-adjusting
- J09Influenza due to certain identified influenza virusesNon-billable
- J09.XInfluenza due to identified novel influenza A virusNon-billable
- J09.X1Influenza due to identified novel influenza A virus with pneumoniaBillable
- J09.X2Influenza due to identified novel influenza A virus with other respiratory manifestationsBillable
- J09.X3Influenza due to identified novel influenza A virus with gastrointestinal manifestationsBillable
- J09.X9Influenza due to identified novel influenza A virus with other manifestationsBillable
- J10Influenza due to other identified influenza virusNon-billable
- J10.0Influenza due to other identified influenza virus with pneumoniaNon-billable
- J10.00Influenza due to other identified influenza virus with unspecified type of pneumoniaBillable
- J10.01Influenza due to other identified influenza virus with the same other identified influenza virus pneumoniaBillable
- J10.08Influenza due to other identified influenza virus with other specified pneumoniaBillable
- J10.1Influenza due to other identified influenza virus with other respiratory manifestationsBillable
- J10.2Influenza due to other identified influenza virus with gastrointestinal manifestationsBillable
- J10.8Influenza due to other identified influenza virus with other manifestationsNon-billable
- J10.81Influenza due to other identified influenza virus with encephalopathyBillable
- J10.82Influenza due to other identified influenza virus with myocarditisBillable
- J10.83Influenza due to other identified influenza virus with otitis mediaBillable
- J10.89Influenza due to other identified influenza virus with other manifestationsBillable
- J11Influenza due to unidentified influenza virusNon-billable
- J11.0Influenza due to unidentified influenza virus with pneumoniaNon-billable
- J11.00Influenza due to unidentified influenza virus with unspecified type of pneumoniaBillable
- J11.08Influenza due to unidentified influenza virus with specified pneumoniaBillable
- J11.1Influenza due to unidentified influenza virus with other respiratory manifestationsBillable
- J11.2Influenza due to unidentified influenza virus with gastrointestinal manifestationsBillable
- J11.8Influenza due to unidentified influenza virus with other manifestationsNon-billable
- J11.81Influenza due to unidentified influenza virus with encephalopathyBillable
- J11.82Influenza due to unidentified influenza virus with myocarditisBillable
- J11.83Influenza due to unidentified influenza virus with otitis mediaBillable
- J11.89Influenza due to unidentified influenza virus with other manifestationsBillable
- J12Viral pneumonia, not elsewhere classifiedNon-billable
- J12.0Adenoviral pneumoniaBillable
- J12.1Respiratory syncytial virus pneumoniaBillable
- J12.2Parainfluenza virus pneumoniaBillable
- J12.3Human metapneumovirus pneumoniaBillable
- J12.8Other viral pneumoniaNon-billable
- J12.81Pneumonia due to SARS-associated coronavirusBillable
- J12.82Pneumonia due to coronavirus disease 2019Billable
- J12.89Other viral pneumoniaBillable
- J12.9Viral pneumonia, unspecifiedBillable
- J13Pneumonia due to Streptococcus pneumoniaeBillable
- J14Pneumonia due to Hemophilus influenzaeBillable
- J15Bacterial pneumonia, not elsewhere classifiedNon-billable
- J15.0Pneumonia due to Klebsiella pneumoniaeBillable
- J15.1Pneumonia due to PseudomonasBillable
- J15.2Pneumonia due to staphylococcusNon-billable
- J15.20Pneumonia due to staphylococcus, unspecifiedBillable
- J15.21Pneumonia due to staphylococcus aureusNon-billable
- J15.211Pneumonia due to Methicillin susceptible Staphylococcus aureusBillable
- J15.212Pneumonia due to Methicillin resistant Staphylococcus aureusBillable
- J15.29Pneumonia due to other staphylococcusBillable
- 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 bacteriaNon-billable
- J15.61Pneumonia due to Acinetobacter baumanniiBillable
- J15.69Pneumonia due to other Gram-negative bacteriaBillable
- J15.7Pneumonia due to Mycoplasma pneumoniaeBillable
- J15.8Pneumonia due to other specified bacteriaBillable
- J15.9Unspecified bacterial pneumoniaBillable
- J16Pneumonia due to other infectious organisms, not elsewhere classifiedNon-billable
- J16.0Chlamydial pneumoniaBillable
- J16.8Pneumonia due to other specified infectious organismsBillable
- J17Pneumonia in diseases classified elsewhereBillable
- J18Pneumonia, unspecified organismNon-billable
- J18.0Bronchopneumonia, unspecified organismBillable
- J18.1Lobar pneumonia, unspecified organismBillable
- J18.2Hypostatic pneumonia, unspecified organismBillable
- J18.8Other pneumonia, unspecified organismBillable
- J18.9Pneumonia, unspecified organismBillable
Official Guidelines for J09-J18
FY 2026 ›Sections that reference codes in J09-J18
- I.C.1.e.1)(a)Combination codes for MRSA infectionJ15.212Chapter 1 guidance
- I.C.1.g.1)(c)(i)PneumoniaJ12.82Chapter 1 guidance
- I.C.10.cInfluenza due to certain identified influenza virusesJ09
- I.C.10.d.1)Documentation of Ventilator associated PneumoniaJ12-J18
- I.C.10.d.2)Ventilator associated Pneumonia Develops after AdmissionJ13