J17BillableSave
J17 - Pneumonia in diseases classified elsewhere
ICD-10-CM Chapter 10: Diseases of the respiratory system · J09-J18 Influenza and pneumonia (J09-J18) · Top-level category · FY2027
Includes, Excludes and Coding Notes
Excludes 1 — Not Coded HereFrom J17
Mutually exclusive: these conditions are never reported together with this code.
- candidial pneumonia (B37.1)
- chlamydial pneumonia (J16.0)
- gonorrheal pneumonia (A54.84)
- histoplasmosis pneumonia (B39.0-B39.2)
- measles pneumonia (B05.2)
- nocardiosis pneumonia (A43.0)
- pneumocystosis (B59)
- pneumonia due to Pneumocystis carinii (B59)
- pneumonia due to Pneumocystis jirovecii (B59)
- pneumonia in actinomycosis (A42.0)
- pneumonia in anthrax (A22.1)
- pneumonia in ascariasis (B77.81)
- pneumonia in aspergillosis (B44.0-B44.1)
- pneumonia in coccidioidomycosis (B38.0-B38.2)
- pneumonia in cytomegalovirus disease (B25.0)
- pneumonia in toxoplasmosis (B58.3)
- rubella pneumonia (B06.81)
- salmonella pneumonia (A02.22)
- spirochetal infection NEC with pneumonia (A69.8)
- tularemia pneumonia (A21.2)
- typhoid fever with pneumonia (A01.03)
- varicella pneumonia (B01.2)
- whooping cough with pneumonia (A37 with fifth-character 1)
Code FirstFrom J17
Sequence the underlying condition before this code.
- underlying disease, such as:
- Q fever (A78)
- rheumatic fever (I00)
- schistosomiasis (B65.0-B65.9)
Code AlsoFrom J17
Report an additional code when both conditions apply.
- , if applicable, any associated condition such as:
- abscess (J85.1)
- aspiration pneumonia (J69.-)
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).
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
Chapter Information
Other categories in this chapter
Codes at the same level as J17
- Acute nasopharyngitis [common cold]J00
- Acute sinusitisJ01
- Acute pharyngitisJ02
- Acute tonsillitisJ03
- Acute laryngitis and tracheitisJ04
- Acute obstructive laryngitis [croup] and epiglottitisJ05
- Acute upper respiratory infections of multiple and unspecified sitesJ06
- Influenza due to certain identified influenza virusesJ09
- Influenza due to other identified influenza virusJ10
- Influenza due to unidentified influenza virusJ11
- Viral pneumonia, not elsewhere classifiedJ12
- Pneumonia due to Streptococcus pneumoniaeJ13
- Pneumonia due to Hemophilus influenzaeJ14
- Bacterial pneumonia, not elsewhere classifiedJ15
- Pneumonia due to other infectious organisms, not elsewhere classifiedJ16
- Pneumonia, unspecified organismJ18
- Acute bronchitisJ20
- Acute bronchiolitisJ21
- Unspecified acute lower respiratory infectionJ22
- Vasomotor and allergic rhinitisJ30
- Chronic rhinitis, nasopharyngitis and pharyngitisJ31
- Chronic sinusitisJ32
- Nasal polypJ33
- Other and unspecified disorders of nose and nasal sinusesJ34
- Chronic diseases of tonsils and adenoidsJ35
- Peritonsillar abscessJ36
- Chronic laryngitis and laryngotracheitisJ37
- Diseases of vocal cords and larynx, not elsewhere classifiedJ38
- Other diseases of upper respiratory tractJ39
- Bronchitis, not specified as acute or chronicJ40
- Simple and mucopurulent chronic bronchitisJ41
- Unspecified chronic bronchitisJ42
- EmphysemaJ43
- Other chronic obstructive pulmonary diseaseJ44
- AsthmaJ45
- BronchiectasisJ47
- Chronic lung allograft dysfunctionJ4A
- Pulmonary mycetomaJ4B
- Coalworker's pneumoconiosisJ60
- Pneumoconiosis due to asbestos and other mineral fibersJ61
24 more in this chapter.