J15.21UpcomingCategory · further specificity required

Pneumonia due to staphylococcus aureus

Chapters 10 · Inherited instructions

Use additional code

code, where applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

J09-J18 · Inherited instructions

Use additional code

code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

J15 · Inherited instructions

Code first

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

Code also

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

Excludes 1

chlamydial pneumonia (J16.0)
congenital pneumonia (P23.-)
Legionnaires' disease (A48.1)
spirochetal pneumonia (A69.8)

Excludes 2 · 18

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

J09-J18 · Influenza and pneumonia (J09-J18)

Excludes 2

allergic or eosinophilic pneumonia (J82)
aspiration pneumonia NOS (J69.0)
meconium pneumonia (P24.01)
neonatal aspiration pneumonia (P24.-)
pneumonia due to solids and liquids (J69.-)
congenital pneumonia (P23.9)
lipid pneumonia (J69.1)
rheumatic pneumonia (I00)
ventilator associated pneumonia (J95.851)

More specific codes

J15.211Pneumonia due to Methicillin susceptible Staphylococcus aureus J15.212Pneumonia due to Methicillin resistant Staphylococcus aureus

Claims & coverage

When ICD-10-CM is required

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 · 2015-10-01

Code history

Latest recorded change · FY2025

ChangedUnchanged

FY2025

Effective from 2024-10-01

Inherited rules changed

Pneumonia due to staphylococcus aureus

Category — select a more specific code

CDC/NCHS · FY2025

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Inherited rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
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	No tabular change
FY2025	2024-10-01	Inherited rules changed
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

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

Inherited instructions

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use additional code

code, where applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Note

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).

J09-J18 · Influenza and pneumonia (J09-J18)

Excludes 2

allergic or eosinophilic pneumonia (J82)
aspiration pneumonia NOS (J69.0)
meconium pneumonia (P24.01)
neonatal aspiration pneumonia (P24.-)
pneumonia due to solids and liquids (J69.-)
congenital pneumonia (P23.9)
lipid pneumonia (J69.1)
rheumatic pneumonia (I00)
ventilator associated pneumonia (J95.851)

Use additional code

code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

J15 · Bacterial pneumonia, not elsewhere classified

Includes

bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae

Excludes 1

chlamydial pneumonia (J16.0)
congenital pneumonia (P23.-)
Legionnaires' disease (A48.1)
spirochetal pneumonia (A69.8)

Code first

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

Code also

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

More specific codes

J15.211Pneumonia due to Methicillin susceptible Staphylococcus aureusBillable / specific J15.212Pneumonia due to Methicillin resistant Staphylococcus aureusBillable / specific

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
J15.20	Pneumonia due to staphylococcus, unspecified	Billable / specific
J15.29	Pneumonia due to other staphylococcus	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗

Chapters 10 · Inherited instructions

Use additional code

code, where applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

All editions

Effective from

Code history

FY2016

2015-10-01

First observed

FY2017

2016-10-01

Inherited rules changed

FY2018

2017-10-01

No tabular change

FY2019

2018-10-01

No tabular change

FY2020

2019-10-01

No tabular change

FY2020 · April

2020-04-01

No tabular change

FY2021

2020-10-01

No tabular change

FY2021 · 01-01

2021-01-01

No tabular change

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

No tabular change

FY2025

2024-10-01

Inherited rules changed

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

Inherited instructions

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use additional code

code, where applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Note

J09-J18 · Influenza and pneumonia (J09-J18)

Excludes 2

allergic or eosinophilic pneumonia (J82)
aspiration pneumonia NOS (J69.0)
meconium pneumonia (P24.01)
neonatal aspiration pneumonia (P24.-)
pneumonia due to solids and liquids (J69.-)
congenital pneumonia (P23.9)
lipid pneumonia (J69.1)
rheumatic pneumonia (I00)
ventilator associated pneumonia (J95.851)

Use additional code

code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)

J15 · Bacterial pneumonia, not elsewhere classified

Includes

bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae

Excludes 1

chlamydial pneumonia (J16.0)
congenital pneumonia (P23.-)
Legionnaires' disease (A48.1)
spirochetal pneumonia (A69.8)

Code first

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

Code also

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

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
J15.20	Pneumonia due to staphylococcus, unspecified	Billable / specific
J15.29	Pneumonia due to other staphylococcus	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗