J09.X1
J09.X1: Influenza due to identified novel influenza A virus with pneumonia
Billable / specific codeICD-10-CM
J09.X1 is a billable, specific ICD-10-CM code for influenza due to identified novel influenza a virus with pneumonia. It is valid for submission on a claim.
Check J09.X1 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, associated:
- lung abscess (J85.1)
- other specified type of pneumonia
Excludes1 inherited from the categories above J09.X1
A category’s note binds every code beneath it.
Written on J09: Influenza due to certain identified influenza viruses
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J09.X1 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52466Nebulizers - Policy Article
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Influenza›due to›identified novel influenza A virus›with›pneumonia
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.