Version 2024

2024 ICD-10-CM Diagnosis Code J15.61

Pneumonia due to Acinetobacter baumannii

ICD-10-CM Code:: J15.61
ICD-10 Code for:: Pneumonia due to Acinetobacter baumannii
Is Billable?: Yes - Valid for Submission
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Code Information
2024 ICD-10 Code
Tabular List of Diseases and Injuries
Index to Diseases and Injuries References
Diagnostic Related Groups Mapping
Replacement Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Diseases of the respiratory system
(J00–J99)
- Influenza and pneumonia
  (J09-J18)
  - Bacterial pneumonia, not elsewhere classified
    (J15)

J15.61 is a billable diagnosis code used to specify a medical diagnosis of pneumonia due to acinetobacter baumannii. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

New 2024 ICD-10-CM Code

J15.61 is new to ICD-10-CM code set for the FY 2024, effective October 1, 2023. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This is a new and revised code for the FY 2024 (October 1, 2023 - September 30, 2024).

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) - J18.9
- - in (due to)
  - - Acinetobacter baumannii - J15.61

J15.61 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	04	1.6964
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	04	0.9867
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	04	0.7633

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

J1561 replaces the following previously assigned ICD-10-CM code(s):

J15.6 - Pneumonia due to other aerobic Gram-negative bacteria
J15.6 - Pneumonia due to other Gram-negative bacteria

Code History

FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024