485Bronchopneumonia, organism unspecified
- Legacy / Not Valid for Submission
- Replaced October 1, 2015
485 is a legacy ICD-9-CM diagnosis code for bronchopneumonia, organism unspecified. It was valid on U.S. claims through September 30, 2015 and cannot be reported for services on or after October 1, 2015, when ICD-10-CM replaced the ICD-9 code set. Under the CMS General Equivalence Mappings, its ICD-10-CM replacement is J18.0 (Bronchopneumonia, unspecified organism), flagged as a direct match.
Code Identity
ICD-10-CM Replacement
Based on the final CMS General Equivalence Mappings (GEMs), 485 crosswalks to the following ICD-10-CM code.
| ICD-10-CM Code | Description | Match |
|---|---|---|
| J18.0 | Bronchopneumonia, unspecified organism | Exact match |
Index of Diseases References
Entries in the final ICD-9-CM Index to Diseases and Injuries that point to 485. Tap the icons for the official index conventions.
- Bronchoalveolitis 485
- Influenza influenzal 487.1
- with
- pneumonia any form classifiable to 480 483 485 486 487.0
- due to identified
- with
- Pleurobronchopneumonia SEE ALSO Pneumonia broncho 485
- Pneumonia acute Alpenstich benign bilateral brain cerebral circumscribed congestive creeping delayed resolution double epidemic fever flash fulminant fungoid granulomatous hemorrhagic incipient infantile infectious infiltration insular intermittent latent lobe migratory newborn organized overwhelming primary progressive pseudolobar purulent resolved secondary senile septic suppurative terminal true unresolved vesicular 486
- broncho bronchial confluent croupous diffuse disseminated hemorrhagic involving lobes lobar terminal 485
- with influenza 487.0
- allergic 518.3
- aspiration SEE ALSO Pneumonia aspiration 507.0
- chronic SEE ALSO Fibrosis lung 515
- congenital infective 770.0
- diplococcal 481
- Eaton s agent 483.0
- Escherichia coli E. coli 482.82
- Friedl nder s bacillus 482.0
- Hemophilus influenzae 482.2
- hypostatic 514
- influenzal SEE ALSO Influenza 487.0
- Klebsiella 482.0
- Mycoplasma pneumoniae 483.0
- ornithosis 073.0
- pleuropneumonia like organisms PPLO 483.0
- pneumococcal 481
- Proteus 482.83
- Pseudomonas 482.1
- streptococcal see Pneumonia streptococcal
- viral virus SEE ALSO Pneumonia viral 480.9
- broncho bronchial confluent croupous diffuse disseminated hemorrhagic involving lobes lobar terminal 485
Information for Patients
Pneumonia
What is pneumonia?
Pneumonia is an infection in one or both of the lungs. It causes the air sacs of the lungs to fill up with fluid or pus. It can range from mild to severe, depending on the type of germ causing the infection, 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 pneumonia is often called Legionnaires' disease
- Mycoplasma pneumoniae
- Chlamydia pneumoniae
- Haemophilus influenzae
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)
- Coccidioidomycosis, which causes valley fever
- Histoplasmosis
- Cryptococcus
Who is at risk for pneumonia?
Anyone can get 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 being sick with a cold or the flu
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 slimy substance from deep 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 have sudden changes in mental awareness.
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.
Your health care provider may use many tools to make a diagnosis:
- A medical history, which includes asking about your symptoms
- A physical exam, including listening to your lungs with a stethoscope
- 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 (spit) or phlegm (slimy substance from deep in your lungs).
- Chest CT scan to see how much of your lungs is affected. It may also show if you have complications such as lung abscesses or pleural effusions.
- 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. Having good hygiene, not smoking, and having a healthy lifestyle may also help prevent pneumonia.
NIH: National Heart, Lung, and Blood Institute
Content source: MedlinePlus, U.S. National Library of Medicine.
Questions About 485
Is 485 (bronchopneumonia, organism unspecified) still a valid code?
No. This code belonged to ICD-9-CM, which the United States retired after September 30, 2015. Claims with dates of service on or after October 1, 2015 must use ICD-10-CM codes, such as its replacement J18.0.
What is the ICD-10 replacement for 485?
The General Equivalence Mappings crosswalk this code directly to ICD-10-CM J18.0 (Bronchopneumonia, unspecified organism), a one-to-one match.
What did 485 mean?
In the final ICD-9-CM release, this code described bronchopneumonia, organism unspecified. It sat in block 485 Bronchopneumonia, organism unspecified under Diseases of the respiratory system (460–519).
