Checker Browse Open

J12

⚠ Non-billable (Header)

Viral pneumonia, not elsewhere classified

Diseases of the respiratory system (J00-J99)

⚠️ This is a category header code — not billable. Use a more specific child code below.

Check This Code

✅ Includes

• bronchopneumonia due to viruses other than influenza viruses

📋 Code Instructions

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

⚠️ Excludes2

direct

May be coded together if both conditions coexist

• 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.-)

Child Codes (6)

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

🧪 Validate Combinations

Add J12 to the Excludes Checker to validate against your full code list.

Open in Checker →

Code Information

CodeJ12

BillableNo — Header code

CategoryDiseases of the respiratory system (J00-J99)

Excludes10 rule(s)

Excludes210 note(s)

Child codes6

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)