J11.0
J11.0: Influenza due to unidentified influenza virus with pneumonia
Non-billable headerICD-10-CM
J11.0 is a non-billable header ICD-10-CM code for influenza due to unidentified influenza virus with pneumonia. It cannot be billed on its own: choose one of the more specific child codes below.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- associated lung abscess, if applicable (J85.1)
Other codes that can never be billed with J11.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
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 J11.0
2 child codes. Green means billable.