P23.0
Billable codeCongenital pneumonia due to viral agent
The ICD-10 code for congenital pneumonia due to viral agent is P23.0.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- congenital rubella pneumonitis (P35.0)
Use additional code
This code represents an underlying condition. When a related manifestation is also present, coding convention calls for an additional code to be listed after this one.
- code (B97) to identify organism
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- P23.1Congenital pneumonia due to Chlamydia
- P23.2Congenital pneumonia due to staphylococcus
- P23.3Congenital pneumonia due to streptococcus, group B
- P23.4Congenital pneumonia due to Escherichia coli
- P23.5Congenital pneumonia due to Pseudomonas
- P23.6Congenital pneumonia due to other bacterial agents
- P23.8Congenital pneumonia due to other organisms
- P23.9Congenital pneumonia, unspecified
- P23.0Congenital pneumonia due to viral agent
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 7700Approximate match
Associated MS-DRGs
P23.0 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.