J12
Header — not billableViral pneumonia, not elsewhere classified
The ICD-10 code for viral pneumonia, not elsewhere classified is J12.
J12 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 6 more specific codes below.
Clinical notes
Code also
Two codes may be needed to fully describe a condition, but unlike Code First/Use Additional Code, the sequencing order is not mandated by convention.
- associated abscess, if applicable (J85.1)
Code first
This code represents a manifestation of an underlying disease. Coding convention requires the underlying (etiology) code to be sequenced first, with this code listed second.
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
- 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.-)
Includes
Terms listed here further define or give examples of the conditions grouped under this code — they describe what the code covers, not a separate diagnosis.
- bronchopneumonia due to viruses other than influenza viruses
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This code represents a manifestation. Documentation should identify the underlying condition, which must be coded first.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- J09Influenza due to certain identified influenza virusesnon-billable header
- J10Influenza due to other identified influenza virusnon-billable header
- J11Influenza due to unidentified influenza virusnon-billable header
- J13Pneumonia due to Streptococcus pneumoniae
- J14Pneumonia due to Hemophilus influenzae
- J15Bacterial pneumonia, not elsewhere classifiednon-billable header
- J16Pneumonia due to other infectious organisms, not elsewhere classifiednon-billable header
- J17Pneumonia in diseases classified elsewhere
- J18Pneumonia, unspecified organismnon-billable header
- J12Viral pneumonia, not elsewhere classifiednon-billable header