ICD-10-CM › J00-J99 › J09-J18 › J codes › J12

J12

Viral pneumonia, not elsewhere classified

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 6 more specific codes instead:

  • J12.0 Adenoviral pneumonia
  • J12.1 Respiratory syncytial virus pneumonia
  • J12.2 Parainfluenza virus pneumonia
  • J12.3 Human metapneumovirus pneumonia
  • J12.8 Other viral pneumonia (also a header)
  • J12.9 Viral pneumonia, unspecified

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Viral pneumonia, not elsewhere classified

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

This code

Excludes2 - not included here

  • 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.-)
  • aspiration pneumonia NOS (J69.0)
  • congenital pneumonia (P23.0)
  • congenital rubella pneumonitis (P35.0)
  • interstitial pneumonia NOS (J84.9)
  • lipid pneumonia (J69.1)
  • neonatal aspiration pneumonia (P24.-)

Code first

  • associated influenza, if applicable (J09.X1, J10.0-, J11.0-)

Code also

  • associated abscess, if applicable (J85.1)

Includes

  • bronchopneumonia due to viruses other than influenza viruses

Inherited from the J09-J18 section Influenza and pneumonia (J09-J18)

Excludes2 - not included here

  • allergic or eosinophilic pneumonia (J82)
  • meconium pneumonia (P24.01)
  • pneumonia due to solids and liquids (J69.-)
  • congenital pneumonia (P23.9)
  • rheumatic pneumonia (I00)
  • ventilator associated pneumonia (J95.851)

Use additional code

  • code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)