ICDcodes.org
FY2027

J18Pneumonia, unspecified organism

Not billable

Is J18 billable?

No — J18 is a non-billable header code. J18 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 5 billable codes beneath J18.

J18 at a glance

CodeJ18
DescriptionPneumonia, unspecified organism
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with J18 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • congenital pneumonia (P23.0)
  • drug-induced interstitial lung disorder (J70.2-J70.4)
  • interstitial pneumonia NOS (J84.9)
  • neonatal aspiration pneumonia (P24.-)
  • pneumonitis due to fumes and vapors (J68.0)
  • usual interstitial pneumonia (J84.178)

Code first

The underlying condition below must be sequenced before J18. J18 describes a manifestation and cannot be the principal or first-listed diagnosis.

Excludes2 — not included here

The conditions below are not part of J18, but a patient may have both at the same time. When documentation supports it, J18 and the excluded code may both be reported.

  • 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)
  • lipid pneumonia (J69.1)
  • pneumonitis due to external agents (J67-J70)

Code also

Two codes may be needed to describe the condition fully. Whether J18 is sequenced first depends on the reason for the encounter.

  • , if applicable, any associated condition such as:
  • aspiration pneumonia (J69.-)

Use additional code — inherited from Chapter 10

Report an additional code alongside J18 to fully describe the condition. J18 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 J18 to fully describe the condition. J18 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 J18, but a patient may have both at the same time. When documentation supports it, J18 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 J18, but a patient may have both at the same time. When documentation supports it, J18 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)

What codes fall under J18? (5)

How long has J18 existed?

J18 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 codes are confused with J18?

ICD-10-CM declares these codes mutually exclusive with J18 — exactly one of each pair can be correct for a given encounter.