J15.9

J15.9: Unspecified bacterial pneumonia

Billable / specific codeICD-10-CM

J15.9 is a billable, specific ICD-10-CM code for unspecified bacterial pneumonia. It is valid for submission on a claim.

Check J15.9 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Pneumonia due to gram-positive bacteria

Excludes1 inherited from the categories above J15.9

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

J15.9 is named in 7 Medicare coverage policies: 7 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
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Alphabetic index entries that lead here

Pneumonia›bacillus
Pneumonia›bacterial
Pneumonia›broncho-, bronchial›bacterial
Pneumonia›lobar›bacterial
Pneumonia›aspiration›due to›aspiration of microorganisms›bacterial