J11
J11: Influenza due to unidentified influenza virus
Non-billable headerICD-10-CM
J11 is a non-billable header ICD-10-CM code for influenza due to unidentified influenza virus. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with J11
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G94Other disorders of brain in diseases classified elsewhere
- H67Otitis media in diseases classified elsewhere
- I41Myocarditis in diseases classified elsewhere
- J00Acute nasopharyngitis [common cold]
- J02.9Acute pharyngitis, unspecified
- J03.9Acute tonsillitis, unspecified
- J06Acute upper respiratory infections of multiple and unspecified sites
- J09Influenza due to certain identified influenza viruses
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead J11
4 child codes. Green means billable.
- J11.0Influenza due to unidentified influenza virus with pneumonia
- J11.1Influenza due to unidentified influenza virus with other respiratory manifestations
- J11.2Influenza due to unidentified influenza virus with gastrointestinal manifestations
- J11.8Influenza due to unidentified influenza virus with other manifestations