Valid for Submission
J13 is a billable diagnosis code used to specify a medical diagnosis of pneumonia due to streptococcus pneumoniae. The code J13 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code J13 might also be used to specify conditions or terms like bacterial pneumonia associated with aids, bronchopneumonia due to streptococcus, bronchopneumonia due to streptococcus pneumoniae, pneumococcal bronchitis, pneumococcal lobar pneumonia , pneumococcal pneumonia, etc.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code J13:
Inclusion TermsInclusion Terms
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
Code FirstCode 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.
Code AlsoCode Also
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
Type 1 ExcludesType 1 Excludes
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.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code J13 are found in the index:
- - Embolism (multiple) (paradoxical) - I74.9
- - Infection, infected, infective (opportunistic) - B99.9
- - Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) - J18.9
- - broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) - J18.0
- - diplococcal, diplococcus (broncho-) (lobar) - J13
- - in (due to)
- - lobar (disseminated) (double) (interstitial) - J18.1
- - pneumococcal (broncho) (lobar) - J13
- - Streptococcus pneumoniae - J13
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Bacterial pneumonia associated with AIDS
- Bronchopneumonia due to Streptococcus
- Bronchopneumonia due to Streptococcus pneumoniae
- Pneumococcal bronchitis
- Pneumococcal lobar pneumonia
- Pneumococcal pneumonia
- Pneumococcal pneumonia
- Pneumococcal pneumonia associated with AIDS
- Pneumonia associated with AIDS
- Respiratory disorder associated with AIDS
Diagnostic Related Groups - MS-DRG Mapping
Convert J13 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code J13 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
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 ask about your medical 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 (Medical Encyclopedia)
- Pneumococcal Conjugate Vaccine (PCV13): 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)
- Pneumococcal Polysaccharide Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
[Learn More in MedlinePlus]
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 (Medical Encyclopedia)
- Atypical pneumonia (Medical Encyclopedia)
- Hospital-acquired pneumonia (Medical Encyclopedia)
- Mycoplasma pneumonia (Medical Encyclopedia)
- Pneumonia (Medical Encyclopedia)
- Pneumonia - adults - discharge (Medical Encyclopedia)
- Pneumonia - children - community acquired (Medical Encyclopedia)
- Pneumonia - children - discharge (Medical Encyclopedia)
- Viral pneumonia (Medical Encyclopedia)
[Learn More in MedlinePlus]