ICDcodes.org
FY2027

J12.8Other viral pneumonia

Not billable

Is J12.8 billable?

No — J12.8 is a non-billable header code. J12.8 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 3 billable codes beneath J12.8.

J12.8 at a glance

CodeJ12.8
DescriptionOther viral pneumonia
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Code first — inherited from J12

The underlying condition below must be sequenced before J12.8. J12.8 describes a manifestation and cannot be the principal or first-listed diagnosis.

Use additional code — inherited from Chapter 10

Report an additional code alongside J12.8 to fully describe the condition. J12.8 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 J12.8 to fully describe the condition. J12.8 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 J12.8, but a patient may have both at the same time. When documentation supports it, J12.8 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 J12.8, but a patient may have both at the same time. When documentation supports it, J12.8 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)

Excludes2 — not included here — inherited from J12

The conditions below are not part of J12.8, but a patient may have both at the same time. When documentation supports it, J12.8 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 — inherited from J12

Two codes may be needed to describe the condition fully. Whether J12.8 is sequenced first depends on the reason for the encounter.

  • associated abscess, if applicable (J85.1)

What codes fall under J12.8? (3)

How long has J12.8 existed?

J12.8 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.

What other codes are in the J12 family? (5)