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J15.7

J15.7: Pneumonia due to Mycoplasma pneumoniae

Billable / specific codeICD-10-CM

J15.7 is a billable, specific ICD-10-CM code for pneumonia due to mycoplasma pneumoniae. It is valid for submission on a claim.

Check J15.7 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above J15.7

A category’s note binds every code beneath it.

Written on J15: Bacterial pneumonia, not elsewhere classified

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

Risk adjustment

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

Medicare coverage

J15.7 is named in 10 Medicare coverage policies: 10 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
  • A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
  • A56730Billing and Coding: Respiratory Therapy and Oximetry Services

Alphabetic index entries that lead here

  • Pneumonia›Eaton's agent
  • Pneumonia›Mycoplasma(pneumoniae)
  • Pneumonia›pleuro-pneumonia-like organism(PPLO)
  • Pneumonia›broncho-, bronchial›Eaton's agent
  • Pneumonia›broncho-, bronchial›Mycoplasma(pneumoniae)
  • Pneumonia›broncho-, bronchial›pleuro-pneumonia-like-organisms(PPLO)
  • Pneumonia›in›Eaton's agent
  • Pneumonia›in›Mycoplasma(pneumoniae)
  • Pneumonia›in›pleuro-pneumonia-like-organism(PPLO)

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under J15

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.