J12.3

✓ Billable

Human metapneumovirus pneumonia

Diseases of the respiratory system (J00-J99)

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⚠️ Excludes2

inherited

Rules inherited from parent codes.

  • 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 Instructions

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

Clinical Description

ICD-10-CM code J12.3 represents human metapneumovirus pneumonia. This code falls under the Diseases of the respiratory system (J00-J99) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.

This is a 5-character code at the 4th level of specificity. This is the most specific code available in this subcategory.

Frequently Asked Questions

What is ICD-10 code J12.3?

ICD-10-CM code J12.3 is "Human metapneumovirus pneumonia". It belongs to the category: Diseases of the respiratory system (J00-J99).

Is J12.3 a billable ICD-10 code?

Yes, J12.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Can J12.3 be coded with other codes?

J12.3 has 10 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

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Code Information

CodeJ12.3
BillableYes
ParentJ12
CategoryDiseases of the respiratory system (J00-J99)
Excludes10 rule(s)
Excludes210 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)