FY2024 · 04-01
Effective from
- Inherited rules changed
Pneumonia due to coronavirus disease 2019
Billable diagnosis code
CDC/NCHS · FY2024 · 04-01COVID-19 (U07.1)
code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
associated abscess, if applicable (J85.1)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2021-01-01
Latest recorded change · FY2024 · 04-01
Effective from
Pneumonia due to coronavirus disease 2019
Billable diagnosis code
CDC/NCHS · FY2024 · 04-01| All editions | Effective from | Code history |
|---|---|---|
| FY2021 · 01-01 | 2021-01-01 | Added |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | Inherited rules changed |
| FY2024 · 04-01 | 2024-04-01 | Inherited rules changed |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
COVID-19 (U07.1)
When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
bronchopneumonia due to viruses other than influenza viruses
associated abscess, if applicable (J85.1)
Historical assignments from the CDC conversion table support data retrieval. They do not authorize substituting a previous code for the current code.
Previous assignment: J12.89
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| J12.81 | Pneumonia due to SARS-associated coronavirus | Billable / specific |
| J12.89 | Other viral pneumonia | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗
Code also · pneumonia due to COVID-19 (J12.82)
Use additional code · pneumonia due to COVID-19 (J12.82)