J12 — Viral pneumonia, not elsewhere classified
Is J12 billable?
No — J12 is a non-billable header code. J12 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 8 billable codes beneath J12.
Billable codes under this header
J12 at a glance
| Code | J12 |
|---|---|
| Description | Viral pneumonia, not elsewhere classified |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Code first
The underlying condition below must be sequenced before J12. J12 describes a manifestation and cannot be the principal or first-listed diagnosis.
Excludes2 — not included here
The conditions below are not part of J12, but a patient may have both at the same time. When documentation supports it, J12 and the excluded code may both be reported.
- 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.-)
Code also
Two codes may be needed to describe the condition fully. Whether J12 is sequenced first depends on the reason for the encounter.
- associated abscess, if applicable (J85.1)
Includes
Conditions classified to J12.
- bronchopneumonia due to viruses other than influenza viruses
Use additional code — inherited from Chapter 10
Report an additional code alongside J12 to fully describe the condition. J12 is sequenced first.
Use additional code — inherited from J09-J18
Report an additional code alongside J12 to fully describe the condition. J12 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 J12, but a patient may have both at the same time. When documentation supports it, J12 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 J12, but a patient may have both at the same time. When documentation supports it, J12 and the excluded code may both be reported.
What codes fall under J12? (6)
How long has J12 existed?
J12 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.