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Home/Diagnosis/ICD-10 Coding for Influenza-like Symptoms

ICD-10 Coding for Influenza-like Symptoms

J09.X1
J10.1
J11.1

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

Also Known as:
Flu-like Symptoms
ILI
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Key Information: ICD-10 Coding for Influenza-like Symptoms

Essential facts and insights about ICD-10 Coding for Influenza-like Symptoms

Use ICD-10 code J09.X1 for influenza due to identified novel influenza a virus with pneumonia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Influenza due to identified novel influenza A virus with pneumonia

Billable Code
J09.X1
Billable

Diagnostic Criteria

clinical:
  • • Presence of novel influenza A virus confirmed by lab
documentation:
  • • Documented pneumonia

Applicable To

  • • Novel influenza A with pneumonia

Important Notes

  • • Ensure lab confirmation of novel virus before using J09.X1.

Influenza due to other identified influenza virus with other respiratory manifestations

Billable Code
J10.1
Billable

Diagnostic Criteria

clinical:
  • • Lab confirmation of influenza A/B
documentation:
  • • Documentation of respiratory symptoms

Applicable To

  • • Influenza A with bronchitis

Important Notes

  • • Ensure documentation specifies the type of influenza virus.

Influenza due to unidentified influenza virus with other respiratory manifestations

Billable Code
J11.1
Billable

Diagnostic Criteria

clinical:
  • • No lab confirmation of specific virus
documentation:
  • • Documentation of respiratory symptoms

Applicable To

  • • Influenza with respiratory symptoms, virus unspecified

Important Notes

  • • Ensure documentation supports the absence of lab confirmation.
Ancillary Codes

Additional codes that may be used with this diagnosis

R05

Cough

Use for documenting cough if not included in combination codes.

R50.9

Fever, unspecified

Use for documenting fever if not included in combination codes.

Frequently Asked Questions

What ICD-10 code is used for influenza-like symptoms?

ICD-10 codes for influenza-like symptoms include J09-J11, depending on the virus identification and manifestations.

How do you code influenza with pneumonia?

Use J10.0 for influenza with pneumonia when the virus is identified, and J11.0 if the virus is not identified.

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