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    OpenPayerBilling CodesInfluenza and pneumoniaICD-10-CM j10-influenza-due-to-other-identified-virus
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    ICD-10-CM Code For Influenza Due To Other Identified Influenza Virus: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group J10 includes influenza due to other identified influenza viruses, covering acute respiratory infections where a specific influenza virus has been laboratory-confirmed and documented. These ICD-10-CM diagnosis codes are used to document clinical presentations of influenza with or without associated complications, capturing disease severity and organ system involvement such as lower respiratory tract disease. Accurate coding within the ICD-10-CM J10 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM J10: Influenza Due To Other Identified Influenza Virus Overview

    The ICD-10-CM J10 code group represents influenza infections caused by identified influenza viruses other than those classified in other influenza groups, primarily affecting the respiratory system. These diagnoses capture acute viral respiratory illness with documented viral etiology and can include cases with or without specified complications. Accurate coding is important for clinical tracking, public health reporting, and correct reimbursement for services related to influenza care.

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    When to Use

    Use a code from this group when a patient has a documented influenza infection with a specific influenza virus identified through testing and recorded in the medical record. Apply the appropriate code to reflect whether the influenza is uncomplicated or accompanied by specified respiratory complications to ensure accurate clinical and billing records.

    ICD-10-CM Codes

    9 rows

    ICD-10-CM CodeDescription
    J10.00Influenza due to other identified influenza virus with unspecified type of pneumonia
    J10.01Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia
    J10.08Influenza due to other identified influenza virus with other specified pneumonia
    J10.1Influenza due to other identified influenza virus with other respiratory manifestations
    J10.2Influenza due to other identified influenza virus with gastrointestinal manifestations
    J10.81Influenza due to other identified influenza virus with encephalopathy
    J10.82Influenza due to other identified influenza virus with myocarditis
    J10.83Influenza due to other identified influenza virus with otitis media
    J10.89Influenza due to other identified influenza virus with other manifestations

    DRG Codes

    13 rows

    DRG CodeDescription
    177Respiratory Infections and Inflammations with MCC
    178Respiratory Infections and Inflammations with CC
    179Respiratory Infections and Inflammations without CC/MCC
    193Simple Pneumonia and Pleurisy with MCC
    194Simple Pneumonia and Pleurisy with CC
    195Simple Pneumonia and Pleurisy without CC/MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    865Viral Illness with MCC
    866Viral Illness without MCC
    974HIV with Major Related Condition with MCC
    975HIV with Major Related Condition with CC
    976HIV with Major Related Condition without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to urgent care in winter with acute onset fever, myalgias, dry cough, sore throat, nasal congestion, and significant malaise for 48 hours. Rapid influenza testing or PCR confirms influenza A (other identified influenza virus) without evidence of lower respiratory tract involvement, and the clinician documents uncomplicated influenza; a code from the group for influenza with unspecified type and no pneumonia is assigned. Typical codes: J10.1, J10.8
    • An elderly patient with chronic obstructive pulmonary disease is admitted from the ED after 3 days of high fever, worsening productive cough, shortness of breath, and oxygen desaturation; testing identifies influenza virus as the etiologic agent and chest imaging shows viral pneumonia. Because the influenza infection has resulted in pneumonia in a high-risk older adult, a code for influenza with pneumonia is assigned to capture the acute lower respiratory complication. Typical codes: J10.00, J10.01
    • A pediatric patient is seen in the clinic with influenza confirmed by PCR who develops acute otitis media and dehydration from poor oral intake and vomiting; the visit documents both the influenza infection and the related complications requiring supportive care and an antibiotic for the ear infection. Codes representing influenza with other specified manifestations or as the primary infectious cause with associated complications are used to reflect the acute viral illness plus complications. Typical codes: J10.81, J10.82, J10.89

    Related Codes

    J09-INFLUENZA-DUE-TO-CERTAIN-IDENTIFIED-INFLUENZA-VIRUSES

    ICD-10-CM Code For Influenza Due To Certain Identified Influenza Viruses: Group Overview

    J11-INFLUENZA-UNIDENTIFIED-VIRUS

    ICD-10-CM Code For Influenza Due To Unidentified Influenza Virus: Group Overview

    J12-VIRAL-PNEUMONIA-NOT-ELSEWHERE-CLASSIFIED

    ICD-10-CM Code For Viral Pneumonia Not Elsewhere Classified: Group Overview

    J13-PNEUMONIA-DUE-TO-STREPTOCOCCUS-PNEUMONIAE

    ICD-10-CM Code For Pneumonia Due To Streptococcus Pneumoniae: Group Overview

    J14-PNEUMONIA-DUE-TO-HEMOPHILUS-INFLUENZAE

    ICD-10-CM Code For Pneumonia Due To Hemophilus Influenzae: Group Overview

    J17-PNEUMONIA-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Pneumonia In Diseases Classified Elsewhere: Group Overview

    J18-PNEUMONIA-UNSPECIFIED-ORGANISM

    ICD-10-CM Code For Pneumonia Unspecified Organism: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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