ICDcodes.org
FY2027

J11.89Influenza due to unidentified influenza virus with other manifestations

Billable

Is J11.89 billable?

Yes — J11.89 is billable for FY2027. J11.89 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J11.89 may be submitted for encounters from October 1, 2026 through September 30, 2027.

J11.89 at a glance

CodeJ11.89
DescriptionInfluenza due to unidentified influenza virus with other manifestations
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does J11.89 group to?

J11.89 sits in MDC 18 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 865Viral Illness with MCCmedical
  • 866Viral Illness without MCCmedical

How is J11.89 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to J11.89. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Influenzawithspecified manifestation NEC (bronchial) (epidemic) (respiratory (upper)) (unidentified influenza virus)

Use additional code

Report an additional code alongside J11.89 to fully describe the condition. J11.89 is sequenced first.

  • codes to identify the manifestations

Use additional code — inherited from Chapter 10

Report an additional code alongside J11.89 to fully describe the condition. J11.89 is sequenced first.

  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Use additional code — inherited from J09-J18

Report an additional code alongside J11.89 to fully describe the condition. J11.89 is sequenced first.

  • code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

Excludes2 — not included here — inherited from Chapter 10

The conditions below are not part of J11.89, but a patient may have both at the same time. When documentation supports it, J11.89 and the excluded code may both be reported.

  • 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)

Excludes2 — not included here — inherited from J09-J18

The conditions below are not part of J11.89, but a patient may have both at the same time. When documentation supports it, J11.89 and the excluded code may both be reported.

  • 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)

How long has J11.89 existed?

J11.89 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to J11.89?

What other codes are in the J11.8 family? (3)