Diagnosis Code J13
Information for Medical Professionals
The diagnosis code J13 is grouped in the following Diagnostic Related Group(s) (MS-DRG V34.0)
- 193 - SIMPLE PNEUMONIA AND PLEURISY WITH MCC
- 194 - SIMPLE PNEUMONIA AND PLEURISY WITH CC
- 195 - SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
Convert to ICD-9 General Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- 481 - Pneumococcal pneumonia (approximate) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- Bacterial pneumonia associated with acquired immunodeficiency syndrome
- Bronchopneumonia caused by Streptococcus pneumoniae
- Lobar pneumonia
- Pneumococcal lobar pneumonia
- Pneumococcal pneumonia
- Pneumococcal pneumonia
- Pneumococcal pneumonia associated with acquired immunodeficiency syndrome
- Pneumonia associated with acquired immunodeficiency syndrome
- Pneumonia caused by Streptococcus
- Pneumonia caused by Streptococcus
- Respiratory disorder associated with acquired immunodeficiency syndrome
Index of Diseases and Injuries
References found for the code J13 in the Index of Diseases and Injuries:
- Inclusion Terms: Inclusion terms
List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of “other specified” codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Bronchopneumonia due to S. pneumoniae
- Type 1 Excludes Notes: Type 1 Excludes Notes
A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- congenital pneumonia due to S. pneumoniae (P23.6)
- lobar pneumonia, unspecified organism (J18.1)
- pneumonia due to other streptococci (J15.3-J15.4)
- Code First: "Code first"
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
- Code Also: “Code also note”
A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- associated abscess, if applicable (J85.1)
Information for Patients
Also called: Streptococcus pneumoniae infections
Pneumococci are a type of streptococcus bacteria. The bacteria spread through contact with people who are ill or by healthy people who carry the bacteria in the back of their nose. Pneumococcal infections can be mild or severe. The most common types of infections are
- Ear infections
- Sinus infections
How the diagnosis is made depends upon where the infection is. Your doctor will do a physical exam and health history. Possible tests may include blood, imaging, or lab tests. Treatment is with antibiotics. Vaccines can prevent pneumococcal infections. There are two vaccines. One is for infants and young children. The other is for people at high risk, including those who are over 65 years old, have chronic illnesses or weak immune systems, smoke, have asthma, or live in long-term care facilities.
Centers for Disease Control and Prevention
- Meningitis - pneumococcal
- Pneumococcal Conjugate Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
- Pneumococcal Disease: Information for Parents (Centers for Disease Control and Prevention)
- Pneumococcal Disease: Information for Parents (American Academy of Family Physicians)
- Pneumococcal Disease: Information for Parents (American Academy of Pediatrics)
- Pneumococcal Polysaccharide Vaccine: What You Need to Know (Immunization Action Coalition)
Also called: Bronchopneumonia
Pneumonia is an infection in one or both of the lungs. Many germs, such as bacteria, viruses, and fungi, can cause pneumonia. You can also get pneumonia by inhaling a liquid or chemical. People most at risk are older than 65 or younger than 2 years of age, or already have health problems.
Symptoms of pneumonia vary from mild to severe. See your doctor promptly if you
- Have a high fever
- Have shaking chills
- Have a cough with phlegm that doesn't improve or gets worse
- Develop shortness of breath with normal daily activities
- Have chest pain when you breathe or cough
- Feel suddenly worse after a cold or the flu
Your doctor will use your medical history, a physical exam, and lab tests to diagnose pneumonia. Treatment depends on what kind you have. If bacteria are the cause, antibiotics should help. If you have viral pneumonia, your doctor may prescribe an antiviral medicine to treat it.
Preventing pneumonia is always better than treating it. Vaccines are available to prevent pneumococcal pneumonia and the flu. Other preventive measures include washing your hands frequently and not smoking.
NIH: National Heart, Lung, and Blood Institute
- Aspiration pneumonia
- Atypical pneumonia
- Hospital-acquired pneumonia
- Mycoplasma pneumonia
- Pneumonia - adults - discharge
- Pneumonia - children - discharge
- Viral pneumonia