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Diseases of the respiratory system (J00-J99)

Note:: When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

Use additional: code, where applicable, to identify:
Use additional: exposure to environmental tobacco smoke (Z77.22)
Use additional: exposure to tobacco smoke in the perinatal period (P96.81)
Use additional: history of tobacco dependence (Z87.891)
Use additional: occupational exposure to environmental tobacco smoke (Z57.31)
Use additional: tobacco dependence (F17.-)
Use additional: tobacco use (Z72.0)
Excludes 2:: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Influenza and pneumonia (J09-J18)

Use additional: code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
Excludes 2:: allergic or eosinophilic pneumonia (J82)
aspiration pneumonia NOS (J69.0)
meconium pneumonia (P24.01)
neonatal aspiration pneumonia (P24.-)
pneumonia due to solids and liquids (J69.-)
congenital pneumonia (P23.9)
lipid pneumonia (J69.1)
rheumatic pneumonia (I00)
ventilator associated pneumonia (J95.851)

J09

Influenza due to certain identified influenza viruses [+]

Excludes 1:

influenza A/H1N1 (J10.-)
influenza due to other identified influenza virus (J10.-)
influenza due to unidentified influenza virus (J11.-)
seasonal influenza due to other identified influenza virus (J10.-)
seasonal influenza due to unidentified influenza virus (J11.-)

J09.X

Influenza due to identified novel influenza A virus [+]
Avian influenza
Bird influenza
Influenza A/H5N1
Influenza of other animal origin, not bird or swine
Swine influenza virus (viruses that normally cause infections in pigs)

J09.X1

Influenza due to identified novel influenza A virus with pneumonia

Code also

, if applicable, associated:
lung abscess (J85.1)
other specified type of pneumonia

J09.X2

Influenza due to identified novel influenza A virus with other respiratory manifestations
Influenza due to identified novel influenza A virus NOS
Influenza due to identified novel influenza A virus with laryngitis
Influenza due to identified novel influenza A virus with pharyngitis
Influenza due to identified novel influenza A virus with upper respiratory symptoms

Use additional	code, if applicable, for associated:
Use additional	pleural effusion (J91.8)
Use additional	sinusitis (J01.-)

J09.X3

Influenza due to identified novel influenza A virus with gastrointestinal manifestations
Influenza due to identified novel influenza A virus gastroenteritis

Excludes 1:

'intestinal flu' [viral gastroenteritis] (A08.-)

J09.X9

Influenza due to identified novel influenza A virus with other manifestations
Influenza due to identified novel influenza A virus with encephalopathy
Influenza due to identified novel influenza A virus with myocarditis
Influenza due to identified novel influenza A virus with otitis media

Use additional

code to identify manifestation

J10

Influenza due to other identified influenza virus [+]

Includes:	influenza A (non-novel) influenza B influenza C
Excludes 1:	influenza due to avian influenza virus (J09.X-) influenza due to swine flu (J09.X-) influenza due to unidentifed influenza virus (J11.-)

J10.0

Influenza due to other identified influenza virus with pneumonia [+]

Code also

associated lung abscess, if applicable (J85.1)

J10.1

Influenza due to other identified influenza virus with other respiratory manifestations
Influenza due to other identified influenza virus NOS
Influenza due to other identified influenza virus with laryngitis
Influenza due to other identified influenza virus with pharyngitis
Influenza due to other identified influenza virus with upper respiratory symptoms

Use additional	code for associated pleural effusion, if applicable (J91.8)
Use additional	code for associated sinusitis, if applicable (J01.-)

J10.2

Influenza due to other identified influenza virus with gastrointestinal manifestations
Influenza due to other identified influenza virus gastroenteritis

Excludes 1:

'intestinal flu' [viral gastroenteritis] (A08.-)

J10.8

Influenza due to other identified influenza virus with other manifestations [+]

J11

Influenza due to unidentified influenza virus [+]

J11.0

Influenza due to unidentified influenza virus with pneumonia [+]

Code also

associated lung abscess, if applicable (J85.1)

J11.1

Influenza due to unidentified influenza virus with other respiratory manifestations
Influenza NOS
Influenzal laryngitis NOS
Influenzal pharyngitis NOS
Influenza with upper respiratory symptoms NOS

Use additional	code for associated pleural effusion, if applicable (J91.8)
Use additional	code for associated sinusitis, if applicable (J01.-)

J11.2

Influenza due to unidentified influenza virus with gastrointestinal manifestations
Influenza gastroenteritis NOS

Excludes 1:

'intestinal flu' [viral gastroenteritis] (A08.-)

J11.8

Influenza due to unidentified influenza virus with other manifestations [+]

J12

Viral pneumonia, not elsewhere classified [+]

Code first	associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Includes:	bronchopneumonia due to viruses other than influenza viruses
Code also	associated abscess, if applicable (J85.1)
Excludes 1:	aspiration pneumonia due to anesthesia during labor and delivery (O74.0) aspiration pneumonia due to anesthesia during pregnancy (O29) aspiration pneumonia due to anesthesia during puerperium (O89.0) aspiration pneumonia due to solids and liquids (J69.-) aspiration pneumonia NOS (J69.0) congenital pneumonia (P23.0) congenital rubella pneumonitis (P35.0) interstitial pneumonia NOS (J84.9) lipid pneumonia (J69.1) neonatal aspiration pneumonia (P24.-)

J13

Pneumonia due to Streptococcus pneumoniae
Bronchopneumonia due to S. pneumoniae

Code first	associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code also	associated abscess, if applicable (J85.1)
Excludes 1:	congenital pneumonia due to S. pneumoniae (P23.6) lobar pneumonia, unspecified organism (J18.1) pneumonia due to other streptococci (J15.3-J15.4)

J14

Pneumonia due to Hemophilus influenzae
Bronchopneumonia due to H. influenzae

Code first	associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code also	associated abscess, if applicable (J85.1)
Excludes 1:	congenital pneumonia due to H. influenzae (P23.6)

J15

Bacterial pneumonia, not elsewhere classified [+]

Code first	associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Includes:	bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae
Code also	associated abscess, if applicable (J85.1)
Excludes 1:	chlamydial pneumonia (J16.0) congenital pneumonia (P23.-) Legionnaires' disease (A48.1) spirochetal pneumonia (A69.8)

J15.0

Pneumonia due to Klebsiella pneumoniae

J15.1

Pneumonia due to Pseudomonas

J15.2

Pneumonia due to staphylococcus [+]

J15.3

Pneumonia due to streptococcus, group B

J15.4

Pneumonia due to other streptococci

Excludes 1:

pneumonia due to streptococcus, group B (J15.3)
pneumonia due to Streptococcus pneumoniae (J13)

J15.5

Pneumonia due to Escherichia coli

J15.6

Pneumonia due to other Gram-negative bacteria [+]

J15.7

Pneumonia due to Mycoplasma pneumoniae

J15.8

Pneumonia due to other specified bacteria

J15.9

Unspecified bacterial pneumonia
Pneumonia due to gram-positive bacteria

J16

Pneumonia due to other infectious organisms, not elsewhere classified [+]

Code first	associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code also	associated abscess, if applicable (J85.1)
Excludes 1:	congenital pneumonia (P23.-) ornithosis (A70) pneumocystosis (B59) pneumonia NOS (J18.9)

J17

Pneumonia in diseases classified elsewhere

Code first

underlying disease, such as:
Q fever (A78)
rheumatic fever (I00)
schistosomiasis (B65.0-B65.9)

Excludes 1:

candidial pneumonia (B37.1)
chlamydial pneumonia (J16.0)
gonorrheal pneumonia (A54.84)
histoplasmosis pneumonia (B39.0-B39.2)
measles pneumonia (B05.2)
nocardiosis pneumonia (A43.0)
pneumocystosis (B59)
pneumonia due to Pneumocystis carinii (B59)
pneumonia due to Pneumocystis jiroveci (B59)
pneumonia in actinomycosis (A42.0)
pneumonia in anthrax (A22.1)
pneumonia in ascariasis (B77.81)
pneumonia in aspergillosis (B44.0-B44.1)
pneumonia in coccidioidomycosis (B38.0-B38.2)
pneumonia in cytomegalovirus disease (B25.0)
pneumonia in toxoplasmosis (B58.3)
rubella pneumonia (B06.81)
salmonella pneumonia (A02.22)
spirochetal infection NEC with pneumonia (A69.8)
tularemia pneumonia (A21.2)
typhoid fever with pneumonia (A01.03)
varicella pneumonia (B01.2)
whooping cough with pneumonia (A37 with fifth-character 1)

J18

Pneumonia, unspecified organism [+]

Code first

associated influenza, if applicable (J09.X1, J10.0-, J11.0-)

Excludes 1:

abscess of lung with pneumonia (J85.1)
aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
aspiration pneumonia due to anesthesia during pregnancy (O29)
aspiration pneumonia due to anesthesia during puerperium (O89.0)
aspiration pneumonia due to solids and liquids (J69.-)
aspiration pneumonia NOS (J69.0)
congenital pneumonia (P23.0)
drug-induced interstitial lung disorder (J70.2-J70.4)
interstitial pneumonia NOS (J84.9)
lipid pneumonia (J69.1)
neonatal aspiration pneumonia (P24.-)
pneumonitis due to external agents (J67-J70)
pneumonitis due to fumes and vapors (J68.0)
usual interstitial pneumonia (J84.178)