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Home/Diagnosis/ICD-10 Coding for Bacterial Pneumonia

ICD-10 Coding for Bacterial Pneumonia

J15.9
J15.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bacterial pneumonia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pneumonia due to bacteria
Bacterial lung infection
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Key Information: ICD-10 Coding for Bacterial Pneumonia

Essential facts and insights about ICD-10 Coding for Bacterial Pneumonia

Use ICD-10 code J15.9 for unspecified bacterial pneumonia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified bacterial pneumonia

Billable Code
J15.9
Billable

Diagnostic Criteria

clinical:
  • • Presence of purulent sputum and elevated WBC count
documentation:
  • • Lack of specific organism identification

Applicable To

  • • Bacterial pneumonia NOS

Important Notes

  • • Ensure documentation specifies clinical findings supporting bacterial etiology.

Pneumonia due to staphylococcus

Non-Billable
J15.2
Non-Billable

Diagnostic Criteria

clinical:
  • • Positive culture for Staphylococcus
  • • Radiological evidence of pneumonia

Applicable To

  • • Staphylococcal pneumonia

Important Notes

  • • Document specific staphylococcus species and susceptibility.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.5

Unspecified streptococcus as the cause of diseases classified elsewhere

Use to specify the organism when identified.

B95.61

Methicillin susceptible Staphylococcus aureus as the cause of diseases classified elsewhere

Use to specify MSSA when identified.

Frequently Asked Questions

What is the ICD-10 code for bacterial pneumonia?

The ICD-10 code for unspecified bacterial pneumonia is J15.9, used when the specific organism is not identified.

How do you code pneumonia due to staphylococcus?

For pneumonia due to staphylococcus, use ICD-10 code J15.2, provided the organism is confirmed via culture.

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