What is the ICD-10 code for viral respiratory illness?

ICD-10 codes for viral respiratory illness vary based on the specific virus and condition, such as U07.1 for COVID-19 and J09 for novel influenza A.

How do you code COVID-19 with pneumonia?

For COVID-19 with pneumonia, use U07.1 for COVID-19 and J12.89 for viral pneumonia as a manifestation.

ICD-10 Coding for Viral Respiratory Illness(U07.1, B97.4, J12.89)

Save

Explore comprehensive ICD-10 coding guidelines for viral respiratory illnesses, including COVID-19 and influenza, with detailed documentation requirements.

Also known as:

Viral Respiratory InfectionViral URIViral Pneumonia

Related ICD-10 Code Ranges

Complete code families applicable to Viral Respiratory Illness

U00-U85Primary Range

Codes for special purposes

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
U07.1	COVID-19, virus identified	Use when COVID-19 is confirmed by laboratory testing.	Positive PCR or antigen test for SARS-CoV-2 Symptoms consistent with COVID-19
J09	Influenza due to identified novel influenza A virus	Use when influenza A virus is identified.	Positive influenza test Symptoms of influenza
J20.8	Acute bronchitis due to other specified organisms	Use for acute bronchitis with a specified viral cause.	Cough lasting less than 3 weeks Viral test confirmation

Primary ICD-10-CM Codes

COVID-19

U07.1Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Other viral pneumoniaJ12.89

Influenza due to other identified influenza virusJ10

Bronchitis, not specified as acute or chronicJ40

Documentation & Coding Risks

Avoid these common issues when documenting Viral Respiratory Illness.

Lack of specificity in documenting viral infections

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation

Always document test results., Use specific codes for identified viral agents.

Using J22 for unspecified lower respiratory infection when organism is identified

Impact

Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation

Use specific codes like J20.8 with B97.4 for identified viral causes.

Incorrect sequencing of COVID-19 codes

Impact

Failure to sequence U07.1 first when confirmed.

Mitigation

Ensure U07.1 is always sequenced first in confirmed cases.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with U07.1.

Primary Code

U07.1

COVID-19

Quick Navigation

ICD-10 codes4

Coding risks3

FAQs2

ICD-10 Coding for Viral Respiratory Illness(U07.1, B97.4, J12.89)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for viral respiratory illness?

How do you code COVID-19 with pneumonia?

Related condition guides