- J13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2024 edition of ICD-10-CM J13 became effective on October 1, 2022.
- This is the American ICD-10-CM version of J13 – other international versions of ICD-10 J13 may differ.
ICD-10-CM J13 is grouped within Diagnostic Related Group(s):
- 193 Simple pneumonia and pleurisy with mcc
- 194 Simple pneumonia and pleurisy with cc
- 195 Simple pneumonia and pleurisy without cc/mcc
- 791 Prematurity with major problems
- 793 Full term neonate with major problems
- 974 Hiv with major related condition with mcc
- 975 Hiv with major related condition with cc
- 976 Hiv with major related condition without cc/mcc
Applicable To
- Bronchopneumonia due to S. pneumoniae
Type 1 Excludes
- congenital pneumonia due to S. pneumoniae (P23.6)
- lobar pneumonia, unspecified organism (J18.1)
- pneumonia due to other streptococci (J15.3-J15.4)
Code History
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2016 (effective 10/1/2015): No change
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2024 (effective 10/1/2022): No change
Diagnosis Index entries containing back-references to J13:
- with pneumonia > pneumococcal A40.3
- with pneumonia > generalized (purulent) A40.3
- diplococcal > broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) J18.0
- pneumococcal > broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) J18.0
- pneumoniae > streptococcal NEC J15.4
- diplococcal, diplococcus (broncho-) (lobar) > Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
- Diplococcus (pneumoniae) > in (due to) A42.0
- pneumococcus > in (due to) A42.0
- pneumoniae > Streptococcus J15.4
- pneumococcal > lobar (disseminated) (double) (interstitial) J18.1
- Streptococcus pneumoniae > lobar (disseminated) (double) (interstitial) J18.1
- pneumococcal (broncho) (lobar) > Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
- Streptococcus pneumoniae > Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9