Not Valid for Submission
J16 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pneumonia due to other infectious organisms, not elsewhere classified. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Pneumonia due to oth infectious organisms, NEC
Non-specific codes like J16 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for pneumonia due to oth infectious organisms, nec:
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 J16:
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.
Information for Patients
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)
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