J18UpcomingCategory · further specificity required

Pneumonia, unspecified organism

Code-level instructions

Code first

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

Code also

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

Excludes 1

congenital pneumonia (P23.0)
drug-induced interstitial lung disorder (J70.2-J70.4)
interstitial pneumonia NOS (J84.9)
neonatal aspiration pneumonia (P24.-)
pneumonitis due to fumes and vapors (J68.0)
usual interstitial pneumonia (J84.178)

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.-)

Excludes 2 · 26

J18

Excludes 2

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)

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

J18.0Bronchopneumonia, unspecified organism J18.1Lobar pneumonia, unspecified organism J18.2Hypostatic pneumonia, unspecified organism J18.8Other pneumonia, unspecified organism J18.9Pneumonia, unspecified organism

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

Code-level rules changed

Pneumonia, unspecified organism

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	Code-level rules changed
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	Code-level 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

Excludes 1

congenital pneumonia (P23.0)
drug-induced interstitial lung disorder (J70.2-J70.4)
interstitial pneumonia NOS (J84.9)
neonatal aspiration pneumonia (P24.-)
pneumonitis due to fumes and vapors (J68.0)
usual interstitial pneumonia (J84.178)

Excludes 2

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)

Code first

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

Code also

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

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.-)

More specific codes

J18.0Bronchopneumonia, unspecified organismBillable / specific J18.1Lobar pneumonia, unspecified organismBillable / specific J18.2Hypostatic pneumonia, unspecified organismBillable / specific J18.8Other pneumonia, unspecified organismBillable / specific J18.9Pneumonia, unspecified organismBillable / specific

Related codes

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

References from other codes (2)

D81.82 · Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]

Code also · pneumonia (J12-J18)

J95.89 · Other postprocedural complications and disorders of respiratory system, not elsewhere classified

Use additional code · bacterial or viral pneumonia (J12-J18)

J18UpcomingCategory · further specificity required

Pneumonia, unspecified organism

Code-level instructions

Code first

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

Code also

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

Excludes 1

congenital pneumonia (P23.0)
drug-induced interstitial lung disorder (J70.2-J70.4)
interstitial pneumonia NOS (J84.9)
neonatal aspiration pneumonia (P24.-)
pneumonitis due to fumes and vapors (J68.0)
usual interstitial pneumonia (J84.178)

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.-)

Excludes 2 · 26

J18

Excludes 2

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)

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

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 ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2025

ChangedUnchanged

FY2025

Effective from 2024-10-01

Code-level rules changed

Pneumonia, unspecified organism

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	Code-level rules changed
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	Code-level 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

Excludes 1

congenital pneumonia (P23.0)
drug-induced interstitial lung disorder (J70.2-J70.4)
interstitial pneumonia NOS (J84.9)
neonatal aspiration pneumonia (P24.-)
pneumonitis due to fumes and vapors (J68.0)
usual interstitial pneumonia (J84.178)

Excludes 2

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)

Code first

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

Code also

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

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.-)

More specific codes

Related codes

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

References from other codes (2)

D81.82 · Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]

Code also · pneumonia (J12-J18)

J95.89 · Other postprocedural complications and disorders of respiratory system, not elsewhere classified

Use additional code · bacterial or viral pneumonia (J12-J18)