J18.0
J18.0: Bronchopneumonia, unspecified organism
Billable / specific codeICD-10-CM
J18.0 is a billable, specific ICD-10-CM code for bronchopneumonia, unspecified organism. It is valid for submission on a claim.
Check J18.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Excludes1 inherited from the categories above J18.0
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above J18.0
Not part of this code, but both may be coded when both are present.
Written on J18: Pneumonia, unspecified organism
- abscess of lung with pneumonia (J85.1)
- aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
- aspiration pneumonia due to anesthesia during pregnancy (O29)
- aspiration pneumonia due to anesthesia during puerperium (O89.0)
- aspiration pneumonia due to solids and liquids (J69.-)
- aspiration pneumonia NOS (J69.0)
- lipid pneumonia (J69.1)
- pneumonitis due to external agents (J67-J70)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J18.0 is named in 13 Medicare coverage policies: 13 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
- Bronchoalveolitis
- Pneumonia›broncho-, bronchial(confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal)
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.