ICD-10-CM › J00-J99 › J09-J18 › J12 Viral pneumonia, not elsewhere classified › J12.1
Respiratory syncytial virus pneumonia
ValidICD-10-CM diagnosis code.
Valid for claims with a date of service in the current code year.
What has happened to this code
Every change the publisher made, from 2007 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.
- FY2007 Added to the draft code set draft Respiratory syncytial virus pneumonia
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.
Inherited from J12 Viral pneumonia, not elsewhere classified
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.-)
How CDC's index refers to this code
Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.
- Congestive
- Pneumonitis
- Cold > chest
- Cold > on lung
- Pleuropneumonia
- Bronchopneumonia
- Cold > bronchial
- Bronchopulmonitis
- Hepatization lung
- Tracheobronchitis
- Bronchopneumonitis
- Consolidation lung
- Pneumonia > patchy
- Pneumonia > diffuse
- Pneumonia > lobular
- Pneumonia > massive
- Effusion > bronchial
- Pneumonia > alveolar
- Pneumonia > croupous
- Bronchitis > croupous
- Bronchitis > subacute
- Pneumonia > catarrhal
- Pneumonia > confluent
- Pneumonia > fibrinous
- Bronchitis > capillary
- Bronchitis > exudative
- Bronchopleuropneumonia
- Irritation > bronchial
- Pleurobronchopneumonia
- Pneumonia > in > virus
- Pneumonia > multilobar
- Pneumonia > pleurolobar
- Laryngotracheobronchitis
- Pneumonia > apex, apical
- Pneumonia > disseminated
- Virus, viral > infection
- Catarrh, catarrhal > lung
- Tracheobronchopneumonitis
- Catarrh, catarrhal > chest
- Bronchitis > catarrhal > acute
Showing 40 of 79 index phrases.
Codes in the same group
| Code | Description | Status |
|---|---|---|
| J12.0 | Adenoviral pneumonia | Valid |
| J12.2 | Parainfluenza virus pneumonia | Valid |
| J12.3 | Human metapneumovirus pneumonia | Valid |
| J12.8 | Other viral pneumonia | Not billable |
| J12.9 | Viral pneumonia, unspecified | Valid |