MCMedicalCodingSoftware
Free trial
J16.8

J16.8: Pneumonia due to other specified infectious organisms

Billable / specific codeICD-10-CM

J16.8 is a billable, specific ICD-10-CM code for pneumonia due to other specified infectious organisms. It is valid for submission on a claim.

Check J16.8 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above J16.8

A category’s note binds every code beneath it.

Written on J16: Pneumonia due to other infectious organisms, not elsewhere classified

  • congenital pneumonia (P23.-)
  • ornithosis (A70)
  • pneumocystosis (B59)
  • pneumonia NOS (J18.9)

Risk adjustment

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

Medicare coverage

J16.8 is named in 11 Medicare coverage policies: 11 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
  • A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

  • Pneumonia›broncho-, bronchial›specified organism NEC
  • Pneumonia›lobar›specified organism NEC
  • Pneumonia›specified NEC›organism NEC
  • Pneumonia›in›specified›organism NEC

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under J16

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.