2025 ICD-10-CM Diagnosis Code P23.0
Congenital pneumonia due to viral agent
- ICD-10-CM Code:
- P23.0
- ICD-10 Code for:
- Congenital pneumonia due to viral agent
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
P23.0 is a billable diagnosis code used to specify a medical diagnosis of congenital pneumonia due to viral agent. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Congenital pneumonia
- Congenital viral pneumonia
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Perinatal infections
CCSR Code: PNL009
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Respiratory perinatal condition
CCSR Code: PNL006
Inpatient Default: N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Viral infection
CCSR Code: INF008
Inpatient Default: N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code B97
Type 1 Excludes
Type 1 ExcludesA 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 rubella pneumonitis P35.0
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).
Convert P23.0 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Congenital pneumonia
ICD-9-CM: 770.0
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Patient Education
Pneumonia
What is pneumonia?
Pneumonia is an infection in one or both of your lungs. It causes the air sacs of your lungs to fill up with fluid or pus. Pneumonia can range from mild to severe, depending on what caused it, your age, and your overall health.
What causes pneumonia?
Bacterial, viral, and fungal infections can cause pneumonia.
Bacteria are the most common cause. Bacterial pneumonia can occur on its own. It can also develop after you've had certain viral infections such as a cold or the flu. Several different types of bacteria can cause pneumonia, including:
- Streptococcus pneumoniae
- Legionella pneumophila; this type of pneumonia is often called Legionnaires' disease
- Mycoplasma pneumoniae
- Chlamydia pneumoniae
- Haemophilus influenzae type b (Hib)
Viruses that infect the respiratory tract may cause pneumonia. Viral pneumonia is often mild and goes away on its own within a few weeks. But sometimes it is serious enough that you need to get treatment in a hospital. If you have viral pneumonia, you are at risk of also getting bacterial pneumonia. The different viruses that can cause pneumonia include:
- Respiratory syncytial virus (RSV)
- Some common cold and flu viruses
- SARS-CoV-2, the virus that causes COVID-19
Fungal pneumonia is more common in people who have chronic health problems or weakened immune systems. Some of the types include:
- Pneumocystis pneumonia (PCP)
- Valley fever (Coccidioidomycosis)
- Histoplasmosis
- Cryptococcal pneumonia
Aspiration can also cause pneumonia. It can happen when you aspirate (accidentally breathe in) food or fluid into the lungs. If you are not able to cough out the food or fluid, it may cause an infection.
Who is more likely to develop pneumonia?
Anyone can develop pneumonia, but certain factors can increase your risk:
- Age; the risk is higher for children who are age 2 and under and adults age 65 and older.
- Exposure to certain chemicals, pollutants, or toxic fumes.
- Lifestyle habits, such as smoking, heavy alcohol use, and malnourishment.
- Being in a hospital, especially if you are in the ICU. Being sedated and/or on a ventilator raises the risk even more.
- Having a lung disease.
- Having a weakened immune system.
- Have trouble coughing or swallowing, from a stroke or other condition.
- Recently having been sick with a cold or the flu.
- Other chronic (long-lasting) health conditions, including diabetes, heart failure, sickle cell disease, liver disease, and kidney disease.
What are the symptoms of pneumonia?
The symptoms of pneumonia can range from mild to severe and include:
- Fever
- Chills
- Cough, usually with phlegm (a type of thick mucus made in your lungs)
- Shortness of breath
- Chest pain when you breathe or cough
- Nausea and/or vomiting
- Diarrhea
The symptoms can vary for different groups. Newborns and infants may not show any signs of the infection. Others may vomit and have a fever and cough. They might seem sick, with no energy, or be restless.
Older adults and people who have serious illnesses or weak immune systems may have fewer and milder symptoms. They may even have a lower-than-normal temperature. Older adults who have pneumonia sometimes may feel weak or suddenly get confused.
What other problems can pneumonia cause?
Sometimes pneumonia can cause serious complications such as:
- Bacteremia, which happens when the bacteria move into the bloodstream. It is serious and can lead to septic shock.
- Lung abscesses, which are collections of pus in cavities of the lungs.
- Pleural disorders, which are conditions that affect the pleura. The pleura is the tissue that covers the outside of the lungs and lines the inside of your chest cavity.
- Kidney failure.
- Respiratory failure.
How is pneumonia diagnosed?
Sometimes pneumonia can be hard to diagnose. This is because it can cause some of the same symptoms as a cold or the flu. It may take time for you to realize that you have a more serious condition.
To find out if you have pneumonia, your health care provider:
- Will take your medical history, which includes asking about your symptoms
- Will do a physical exam, which includes listening to your lungs with a stethoscope
- May order various tests, such as:
- A chest x-ray
- Blood tests such as a complete blood count (CBC) to see if your immune system is actively fighting an infection
- A blood culture to find out whether you have a bacterial infection that has spread to your bloodstream
If you are in the hospital, have serious symptoms, are older, or have other health problems, you may also have more tests, such as:
- Sputum test, which checks for bacteria in a sample of your sputum (mucus that is brought up from the lungs by coughing).
- Chest CT scan to see how much of your lungs are affected. It may also show if you have complications such as lung abscesses or pleural effusions (a buildup of fluid in the pleural space).
- Pleural fluid culture, which checks for bacteria in a fluid sample that was taken from the pleural space.
- Pulse oximetry or blood oxygen level test, to check how much oxygen is in your blood.
- Bronchoscopy, a procedure used to look inside your lungs' airways.
What are the treatments for pneumonia?
Treatment for pneumonia depends on the type of pneumonia, which germ is causing it, and how severe it is:
- Antibiotics treat bacterial pneumonia and some types of fungal pneumonia. They do not work for viral pneumonia.
- In some cases, your provider may prescribe antiviral medicines for viral pneumonia.
- Antifungal medicines treat other types of fungal pneumonia.
You may need to be treated in a hospital if your symptoms are severe or if you are at risk for complications. While there, you may get additional treatments. For example, if your blood oxygen level is low, you may receive oxygen therapy.
It may take time to recover from pneumonia. Some people feel better within a week. For other people, it can take a month or more.
Can pneumonia be prevented?
Vaccines can help prevent pneumonia caused by pneumococcal bacteria or the flu virus. Washing your hands often, not smoking, and having a healthy lifestyle may also help prevent pneumonia.
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Uncommon Infant and Newborn Problems
It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.
Learning information about your baby's condition can help ease your worry. Do not be afraid to ask questions about your baby's care. By working together with your health care provider, you make sure that your baby gets the best care possible.
[Learn More in MedlinePlus]
Viral Infections
What are viruses?
Viruses are very tiny germs. They are made of genetic material (either DNA or RNA) inside of a protein coating. There are a huge number of viruses on earth. Only a small number of them can infect humans. Those viruses can infect our cells, which may cause disease. Some of the diseases that viruses can cause include the common cold, the flu, COVID-19, and HIV.
How are viruses spread?
Viruses can be spread in different ways:
- Through droplets and particles that are breathed out by someone who has the infection. You might breathe in the droplets or particles, or they could land on your mouth, nose, or eyes.
- By touching surfaces or objects that have the virus on them and then touching your mouth, nose, or eyes.
- From the pregnant parent to the baby during pregnancy.
- Through contaminated food or water.
- By being bitten by an infected insect or animal.
- Through sexual contact (usually vaginal, anal and oral sex) with someone who has the infection.
How do viruses cause disease?
Viruses are like hijackers. They invade living, normal cells. They then use those cells to multiply (make copies of themselves). This process is also called replication. The process can kill, damage, or change the infected cells. Sometimes this can make you sick. The symptoms can range from mild to very severe. Other times, your immune system may be able to fight it off and you may not have any symptoms.
Each different virus usually only infects one type of cell in your body. For example, hepatitis viruses affect the cells in the liver. HIV infects a certain type of immune system cell.
What are the treatments for viral infections?
For most viral infections, treatments can only help with symptoms while you wait for your immune system to fight off the virus. There are antiviral medicines to treat some viral infections. Antibiotics do not work for viral infections.
Can viral infections be prevented?
Vaccines can help prevent you from getting many viral diseases. You may be able to prevent some viral infections by:
- Proper hand washing.
- Paying attention to food safety.
- Cleaning surfaces that may be infected with germs.
- Avoiding contact with wild animals.
- Preventing insect bites by using insect repellent when you go outdoors. If you travel to an area that has a high risk of diseases from insect bites, also wear long pants, shirts, and socks.
- Practicing safe sex (using a condom every time you have anal, vaginal, or oral sex).
- Avoiding close contact with people who are sick.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.