Is J17 a billable ICD-10-CM code?

Yes. J17 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J17 sit in the tabular list?

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

What cannot be coded together with J17?

J17 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J17

J17 — Pneumonia in diseases classified elsewhere

Billable / specific codeICD-10-CM

J17 is a billable, specific ICD-10-CM code for pneumonia in diseases classified elsewhere. It is valid for submission on a claim.

Excludes1 — never code together

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

candidial pneumonia (B37.1)
chlamydial pneumonia (J16.0)
gonorrheal pneumonia (A54.84)
histoplasmosis pneumonia (B39.0-B39.2)
measles pneumonia (B05.2)
nocardiosis pneumonia (A43.0)
pneumocystosis (B59)
pneumonia due to Pneumocystis carinii (B59)
pneumonia due to Pneumocystis jirovecii (B59)
pneumonia in actinomycosis (A42.0)
pneumonia in anthrax (A22.1)
pneumonia in ascariasis (B77.81)
pneumonia in aspergillosis (B44.0-B44.1)
pneumonia in coccidioidomycosis (B38.0-B38.2)
pneumonia in cytomegalovirus disease (B25.0)
pneumonia in toxoplasmosis (B58.3)
rubella pneumonia (B06.81)
salmonella pneumonia (A02.22)
spirochetal infection NEC with pneumonia (A69.8)
tularemia pneumonia (A21.2)
typhoid fever with pneumonia (A01.03)
varicella pneumonia (B01.2)
whooping cough with pneumonia (A37 with fifth-character 1)

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
Q fever (A78)
rheumatic fever (I00)
schistosomiasis (B65.0-B65.9)

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.-)

Risk adjustment

J17 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

J17 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A57205Billing and Coding: Oximetry Services

Questions about J17

Is J17 a billable ICD-10-CM code?: Yes. J17 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J17 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Influenza and pneumonia (J09-J18).
What cannot be coded together with J17?: J17 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.