ICD-10 kodeguider
Reviewed July 1, 2026

ICD-10 codes for pneumonia

Pneumonia coding follows the organism: J18.9 when unknown, organism-specific categories when documented. In inpatient coding especially, the gap between J18.9 and an organism-specific code matters for severity and reimbursement.

J18.9 billable

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Den samme FactsContext™-motor, der extractor koder her, gør hele konsultationen til et struktureret klinisk notat, hvor hver kode er knyttet til den sætning, der understøtter den. Du gennemgår og underskriver hvert notat.

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Paste a note or record audio. Notat’s FactsContext™ engine extracts the raw clinical facts first, then suggests codes from that context so you can inspect the evidence before using anything.

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Sådan bruger du dette værktøj

1

Indsæt eller dikter et af-identificeret klinisk notat — et par sætninger er nok.

2

Tryk på Hent koder. Kodningssystemet er fastlåst på denne side.

3

Gennemgå hver foreslået kode og dens evidens, og kopier derefter de koder, du er enig i.

Klinisk notat

ICD-10-CM

Udtrukne koder

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Indsæt et klinisk notat eller indlæs et eksempel, og tryk derefter på Hent koder. Forslag vises her med tilhørende evidens.

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Pneumonia ICD-10 codes

Start with the primary code, then move to a more specific related code when the documentation supports it.

KodeBeskrivelseSystem

J18.9

Pneumonia, unspecified organism

ICD-10-CM

J13

Pneumonia due to Streptococcus pneumoniae

ICD-10-CM

J15.9

Unspecified bacterial pneumonia

ICD-10-CM

J12.9

Viral pneumonia, unspecified

ICD-10-CM

J18.1

Lobar pneumonia, unspecified organism

ICD-10-CM

J69.0

Pneumonitis due to inhalation of food and vomit (aspiration pneumonia)

ICD-10-CM

Sådan vælger du den rigtige kode

Code the organism when cultures or antigen tests identify it — J13 for pneumococcus, J15.- for other bacteria, J12.- for viral. "Community-acquired pneumonia" without an organism is J18.9. A documented aspiration event points to J69.0, which is a different clinical entity, not a J18 variant.

Dokumentationseksempel

Productive cough, fever 38.6°C, right-sided pleuritic pain for 2 days. Crackles right base, CRP 156. Chest X-ray: right lower lobe consolidation. CURB-65 = 1. Urinary pneumococcal antigen positive. Amoxicillin started, oral, community management.

Foreslået:

J13

Ikke direkte transskriptionsgætning

FactsContext extracts clinical facts first: diagnoses, symptoms, negatives, findings, test results, medications, and plan decisions.

Rå fakta forbliver brugbare

The clinician can read and reuse the extracted medical context directly, independent of the generated note.

Bygget til gennemgang

AI suggestions are not a substitute for clinician judgment, payer rules, local coding policy, or the official code set.

FAQ

What is the ICD-10 code for pneumonia?

The ICD-10 code for pneumonia is J18.9 (Pneumonia, unspecified organism). Related codes include J13, J15.9, J12.9. Confirm the most specific code against the documented clinical detail before billing.

When can I code better than J18.9?

When the organism is documented — positive culture, PCR, or antigen test. A positive pneumococcal antigen, for example, supports J13 instead of J18.9.

How is aspiration pneumonia coded?

J69.0, pneumonitis due to inhalation of food and vomit. It is not coded from the J12–J18 pneumonia block.

Can AI upgrade my pneumonia coding specificity?

Notat extracts microbiology results and imaging findings as clinical facts, so when the organism is in the note, the organism-specific code is suggested with its evidence.

Relaterede ICD-10 guider

Fortsæt gennem condition-hubben, eller åbn den generelle medicinske kodningsguide for flere kodningssystemer og extractors.

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