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J09.X2

J09.X2Influenza due to identified novel influenza A virus with other respiratory manifestations

Billable / specific codeICD-10-CM

J09.X2 is a billable, specific ICD-10-CM code for influenza due to identified novel influenza a virus with other respiratory manifestations. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

  • code, if applicable, for associated:
  • pleural effusion (J91.8)
  • sinusitis (J01.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Influenza due to identified novel influenza A virus NOS
  • Influenza due to identified novel influenza A virus with laryngitis
  • Influenza due to identified novel influenza A virus with pharyngitis
  • Influenza due to identified novel influenza A virus with upper respiratory symptoms

Other codes that can never be billed with J09.X2

These codes carry an Excludes1 note pointing at J09.X2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J09.X2 alone.

  • J00Acute nasopharyngitis [common cold]
  • J02.9Acute pharyngitis, unspecified
  • J03.9Acute tonsillitis, unspecified
  • J06Acute upper respiratory infections of multiple and unspecified sites

Risk adjustment

J09.X2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

J09.X2 is named in 15 Medicare coverage policies 15 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52466Nebulizers - Policy Article
  • A52466Nebulizers - Policy Article
  • A52466Nebulizers - Policy Article
  • A52466Nebulizers - Policy Article

How J09.X2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J09.X2.

  • Fluavian
  • Flubird
  • Fluswine(viruses that normally cause infections in pigs)
  • InfluenzaA/H5N1
  • Influenzaavian
  • Influenzabird
  • Influenzaof other animal origin, not bird or swine
  • Influenzaswine(viruses that normally cause infections in pigs)
  • Virus, viralswine influenza(viruses that normally cause infections in pigs)
  • Influenzadue toavian
  • Influenzadue toidentified novel influenza A virus
  • Influenzadue toidentified novel influenza A viruswithlaryngitis

Related codes at this level

Codes that share J09.X. If J09.X2 is not quite right, the correct code is usually one of these.

Questions about J09.X2

Is J09.X2 a billable ICD-10-CM code?
Yes. J09.X2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J09.X2 sit in the tabular list?
Diseases of the respiratory system (J00-J99), in the block Influenza and pneumonia (J09-J18).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.