2026 ICD-10-CM Diagnosis Code J10.01Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia

ICD-10-CM CodesJ00–J99J09-J18J10

ICD-10-CM J10.01
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

J10.01 is a billable ICD-10-CM diagnosis code for influenza due to other identified influenza virus with the same other identified influenza virus pneumonia. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 177 through 179, 193 through 195. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 129 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Influenza and Pneumonia (except that caused by tuberculosis).

Code Identity

ICD-10-CM Code
J10.01
Billable Status
Yes — Valid for Submission
Code Describes
Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia
Short Description
Flu due to oth ident flu virus w same oth ident flu virus pn
Parent Code
Influenza due to other identified influenza virus with pneumonia

Code Classification

ChapterJ00–J99Diseases of the respiratory system
SectionJ09-J18Influenza and pneumonia
CategoryJ10Influenza due to other identified influenza virus
This CodeJ10.01Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR RSP003
Influenza
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR RSP002
Pneumonia (except that caused by tuberculosis)
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Flu

The flu, also called influenza, is a respiratory infection caused by viruses. Each year, millions of Americans get sick with the flu. Sometimes it causes mild illness. But it can also be serious or even deadly, especially for people over 65, newborn babies, and people with certain chronic illnesses.

The full article covers:

  • What is the flu?
  • What causes the flu?
  • What are the symptoms of the flu?
  • What other problems can the flu cause?
  • How is the flu diagnosed?
  • What are the treatments for the flu?
  • Can the flu be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert J10.01 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
487.0 Influenza with pneumonia
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About J10.01Overview

Is J10.01 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report influenza due to other identified influenza virus with the same other identified influenza virus pneumonia on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does J10.01 group to?

When influenza due to other identified influenza virus with the same other identified influenza virus pneumonia is the principal diagnosis on an inpatient stay, it groups to MS-DRG 177, 178, 179, 193, 194, 195, with relative weights from 0.6285 to 1.5627 depending on complications. Higher weights mean higher Medicare reimbursement.

Is J10.01 a CC or MCC?

CMS lists J10.01 as an MCC (major complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 129 closely related codes in its exclusion list.

What is the ICD-9 equivalent of J10.01?

Under the General Equivalence Mappings, influenza due to other identified influenza virus with the same other identified influenza virus pneumonia converts to ICD-9-CM 487.0 (influenza with pneumonia). The mapping is approximate, so confirm the match fits the documentation.