Is J15.1 a billable ICD-10-CM code?

Yes. J15.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J15.1 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Influenza and pneumonia (J09-J18).

J15.1

J15.1 — Pneumonia due to Pseudomonas

Billable / specific codeICD-10-CM

J15.1 is a billable, specific ICD-10-CM code for pneumonia due to pseudomonas. It is valid for submission on a claim.

Risk adjustment

J15.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 282 Aspiration and Specified Bacterial Pneumonias0.440 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

J15.1 is named in 12 Medicare coverage policies — 12 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 J15.1 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 J15.1.

Pneumonia›Pseudomonas
Infection, infected, infective›Pseudomonas NEC›pneumonia
Pneumonia›broncho-, bronchial›Pseudomonas
Pneumonia›in›Pseudomonas NEC
Pneumonia›interstitial›pseudomonas
Pneumonia›lobar›Pseudomonas

Related codes at this level

Codes that share J15. If J15.1 is not quite right, the correct code is usually one of these.

Questions about J15.1

Is J15.1 a billable ICD-10-CM code?: Yes. J15.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J15.1 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Influenza and pneumonia (J09-J18).