DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

J14 diagnosis code · Billable category · FY2027

J14 Pneumonia due to Hemophilus influenzae

  • Billable
  • MCC
  • POA reported

J14 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J09-J18 Influenza and pneumonia (J09-J18)
  3. J14 Pneumonia due to Hemophilus influenzae
CC / MCC
MCC
MS-DRG
193-195, 791, 793, 974-976
HCC V28
–
POA
Reported
Code Editor
–
Index entries
4

Instructions

At J14

Inclusion terms

  • Bronchopneumonia due to H. influenzae

Excludes1

  • congenital pneumonia due to H. influenzae (P23.6) P23.6

Code first

  • , if applicable, associated influenza (J09.X1, J10.0-, J11.0-) J09.X1 J10.0 J11.0

Code also

  • , if applicable, any associated condition such as:
  • abscess (J85.1) J85.1
  • aspiration pneumonia (J69.-) J69

Notes that also apply

Block J09-J18 instructions (Excludes2 9, Use additional code 1): printed on the block page.

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)Hemophilus influenzae (broncho) (lobar) → J14
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal)Hemophilus influenzae → J14
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)in (due to)Hemophilus influenzae (H. influenzae) → J14
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)lobar (disseminated) (double) (interstitial)Hemophilus influenzae → J14

NCHS Alphabetic Index. Index first, then the Tabular List.

Medicare grouping and edits

CMS files for J14
CC / MCCMCC
PDX exclusion list0113 (129 codes)
Appendix BMDC 04 Diseases and Disorders of the Respiratory System, MS-DRG 193-195 (Simple Pneumonia and Pleurisy with MCC…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 791 (Prematurity with Major Problems…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 793 (Full Term Neonate with Major Problems…); MDC 25 Human Immunodeficiency Virus Infections, MS-DRG 974-976 (HIV with Major Related Condition with MCC…)
Code Editor–
POAReported
HCC V28–

MCC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.

CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.

Hierarchy