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Home/Diagnosis/ICD-10 Coding for Influenza Unspecified

ICD-10 Coding for Influenza Unspecified

J11.0
J11.1

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

Also Known as:
Flu Unspecified
Influenza NOS
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Key Information: ICD-10 Coding for Influenza Unspecified

Essential facts and insights about ICD-10 Coding for Influenza Unspecified

Use ICD-10 code J11.0 for influenza with pneumonia, virus not identified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Influenza with pneumonia, virus not identified

Non-Billable
J11.0
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of pneumonia symptoms with influenza diagnosis
documentation:
  • • Lack of specific virus identification

Applicable To

  • • Influenza with pneumonia due to unidentified virus

Important Notes

  • • Ensure documentation clearly states 'virus not identified' to use J11.0.

Influenza with other respiratory manifestations, virus not identified

Billable Code
J11.1
Billable

Diagnostic Criteria

clinical:
  • • Respiratory symptoms such as cough or sore throat
  • • Positive influenza test without strain identification

Applicable To

  • • Influenza with bronchitis, virus not identified

Important Notes

  • • Ensure documentation supports the presence of respiratory symptoms.
Ancillary Codes

Additional codes that may be used with this diagnosis

J12.9

Viral pneumonia, unspecified

Use to specify the type of pneumonia if further details are available.

J20.9

Acute bronchitis, unspecified

Use to specify the type of bronchitis if further details are available.

Frequently Asked Questions

What is the ICD-10 code for unspecified influenza?

The ICD-10 code for unspecified influenza with respiratory manifestations is J11.1, and for unspecified influenza with pneumonia, it is J11.0.

When should J11.0 be used?

Use J11.0 when influenza is diagnosed with pneumonia and the virus type is not identified.

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