icd10free.comPowered by Curo
J12Non-billableSave

J12 - Viral pneumonia, not elsewhere classified

ICD-10-CM Chapter 10: Diseases of the respiratory system · J09-J18 Influenza and pneumonia (J09-J18) · Top-level category · FY2027

Coding Guidance

J12 is a non-billable heading. Report one of the 6 more specific codes below.

Includes, Excludes and Coding Notes

IncludesFrom J12

Conditions this code covers.

  • bronchopneumonia due to viruses other than influenza viruses
Excludes 2 — Not Included HereFrom J12

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

  • 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 FirstFrom J12

Sequence the underlying condition before this code.

  • associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code AlsoFrom J12

Report an additional code when both conditions apply.

  • associated abscess, if applicable (J85.1)
Excludes 2 — Not Included HereFrom J09-J18 Influenza and pneumonia (J09-J18)

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

  • 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 CodeFrom J09-J18 Influenza and pneumonia (J09-J18)

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

  • code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
Excludes 2 — Not Included HereFrom Chapter J00-J99

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

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional CodeFrom Chapter J00-J99

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

  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
NotesFrom Chapter J00-J99

Instructional notes from the ICD-10-CM tabular list.

  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

More Specific Codes (6)

J12.0Adenoviral pneumonia→J12.1Respiratory syncytial virus pneumonia→J12.2Parainfluenza virus pneumonia→J12.3Human metapneumovirus pneumonia→J12.8Other viral pneumonia→J12.9Viral pneumonia, unspecified→

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with J12.