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B59 - Pneumocystosis

ICD-10-CM Chapter 1: Certain infectious and parasitic diseases · B50-B64 Protozoal diseases (B50-B64) · Top-level category · FY2027

Applicable To

Inclusion terms listed under B59 in the ICD-10-CM tabular list.

  • Pneumonia due to Pneumocystis carinii
  • Pneumonia due to Pneumocystis jirovecii

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom B50-B64 Protozoal diseases (B50-B64)

Mutually exclusive: these conditions are never reported together with this code.

  • amebiasis (A06.-)
  • other protozoal intestinal diseases (A07.-)
IncludesFrom Chapter A00-B99

Conditions this code covers.

  • diseases generally recognized as communicable or transmissible
Excludes 2 — Not Included HereFrom Chapter A00-B99

Not part of this code; report both codes when the patient has both conditions.

  • carrier or suspected carrier of infectious disease (Z22.-)
  • certain localized infections - see body system-related chapters
  • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
  • infectious and parasitic diseases specific to the perinatal period (P35-P39)
  • influenza and other acute respiratory infections (J00-J22)
Use Additional CodeFrom Chapter A00-B99

Add a secondary code to identify the associated condition or cause when it is documented.

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

Inpatient DRG Payments

DRG 177144,162 discharges

Respiratory Infections And Inflammations With Mcc

Avg. Medicare Payment

$12,695

Total Payment$14,972
Patient Responsibility$2,277
Hospital Charge$70,592
DRG 17834,201 discharges

Respiratory Infections And Inflammations With Cc

Avg. Medicare Payment

$7,355

Total Payment$9,493
Patient Responsibility$2,139
Hospital Charge$45,313
DRG 1796,038 discharges

Respiratory Infections And Inflammations Without Cc/mcc

Avg. Medicare Payment

$5,432

Total Payment$7,350
Patient Responsibility$1,918
Hospital Charge$35,282
DRG 9742,609 discharges

Hiv With Major Related Condition With Mcc

Avg. Medicare Payment

$29,027

Total Payment$33,402
Patient Responsibility$4,375
Hospital Charge$149,750
DRG 975954 discharges

Hiv With Major Related Condition With Cc

Avg. Medicare Payment

$13,978

Total Payment$17,230
Patient Responsibility$3,252
Hospital Charge$68,377