J15

J15: Bacterial pneumonia, not elsewhere classified

Non-billable headerICD-10-CM

J15 is a non-billable header ICD-10-CM code for bacterial pneumonia, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

chlamydial pneumonia (J16.0)
congenital pneumonia (P23.-)
Legionnaires' disease (A48.1)
spirochetal pneumonia (A69.8)

Code first

The underlying condition must be sequenced before this code.

, if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, any associated condition such as:
abscess (J85.1)
aspiration pneumonia (J69.-)

Includes

Conditions this code covers.

bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae

Other codes that can never be billed with J15

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

J13Pneumonia due to Streptococcus pneumoniae
J15.4Pneumonia due to other streptococci
Z16Resistance to antimicrobial drugs

Risk adjustment

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

The condition this code belongs to

Pneumonia ICD-10 codes

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead J15

10 child codes. Green means billable.