J17 diagnosis code · Billable category · FY2027
J17 Pneumonia in diseases classified elsewhere
- Billable
- MCC
- POA reported
J17 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.
Where it sits
- Chapter 10 Diseases of the respiratory system (J00-J99)
- J09-J18 Influenza and pneumonia (J09-J18)
- J17 Pneumonia in diseases classified elsewhere
- CC / MCC
- MCC
- MS-DRG
- 177-179
- HCC V28
- –
- POA
- Reported
- Code Editor
- Manifestation
- Index entries
- 7
Instructions
At J17
Excludes1
- candidial pneumonia (B37.1) B37.1
- chlamydial pneumonia (J16.0) J16.0
- gonorrheal pneumonia (A54.84) A54.84
- histoplasmosis pneumonia (B39.0-B39.2) B39.0 B39.2
- measles pneumonia (B05.2) B05.2
- nocardiosis pneumonia (A43.0) A43.0
- pneumocystosis (B59) B59
- pneumonia due to Pneumocystis carinii (B59) B59
- pneumonia due to Pneumocystis jirovecii (B59) B59
- pneumonia in actinomycosis (A42.0) A42.0
- pneumonia in anthrax (A22.1) A22.1
- pneumonia in ascariasis (B77.81) B77.81
- pneumonia in aspergillosis (B44.0-B44.1) B44.0 B44.1
- pneumonia in coccidioidomycosis (B38.0-B38.2) B38.0 B38.2
- pneumonia in cytomegalovirus disease (B25.0) B25.0
- pneumonia in toxoplasmosis (B58.3) B58.3
- rubella pneumonia (B06.81) B06.81
- salmonella pneumonia (A02.22) A02.22
- spirochetal infection NEC with pneumonia (A69.8) A69.8
- tularemia pneumonia (A21.2) A21.2
- typhoid fever with pneumonia (A01.03) A01.03
- varicella pneumonia (B01.2) B01.2
- whooping cough with pneumonia (A37 with fifth-character 1) A37
Code first
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)›postinfectional NEC → B99 [J17]
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)›rheumatic → I00 [J17]
- Rheumatic (acute) (subacute)›pneumonia → I00 [J17]
- Bilharziasis›pulmonary NOS›pneumonia → B65.9 [J17]
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)›in (due to)›schistosomiasis → B65.9 [J17]
- Schistosomiasis›lung NEC›pneumonia → B65.9 [J17]
- Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)›in (due to)›rheumatic fever → I00 [J17]
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | MCC |
|---|---|
| PDX exclusion list | 0113 (129 codes) |
| Appendix B | MDC 04 Diseases and Disorders of the Respiratory System, MS-DRG 177-179 (Respiratory Infections and Inflammations with MCC…) |
| Code Editor | Manifestation code: not allowed as principal diagnosis |
| POA | Reported |
| 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.