J10.81

J10.81: Influenza due to other identified influenza virus with encephalopathy

Billable / specific codeICD-10-CM

J10.81 is a billable, specific ICD-10-CM code for influenza due to other identified influenza virus with encephalopathy. It is valid for submission on a claim.

Check J10.81 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above J10.81

A category’s note binds every code beneath it.

Written on J10: Influenza due to other identified influenza virus

influenza due to avian influenza virus (J09.X-)
influenza due to swine flu (J09.X-)
influenza due to unidentifed influenza virus (J11.-)

Other codes that can never be billed with J10.81

Their own Excludes1 notes name this code, so the conflict is not listed above.

G94Other disorders of brain in diseases classified elsewhere
J09Influenza due to certain identified influenza viruses

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J10.81 is named in 7 Medicare coverage policies: 7 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
A56612Billing and Coding: CT of the Head
A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Alphabetic index entries that lead here

Influenza›due to›identified influenza virus NEC›with›encephalopathy

The condition this code belongs to

Influenza ICD-10 codes

Code history

Unchanged in every release from FY2024 to FY2027.