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J12.1

Billable

Respiratory syncytial virus pneumonia

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Pneumonia caused by respiratory syncytial virus (RSV), a common viral infection particularly affecting young children and elderly patients.

Coding Tips

  • •RSV pneumonia is common in pediatric and geriatric populations; verify age-appropriate coding
  • •Document severity and any complications such as bronchiolitis

Code Hierarchy

└J12Viral pneumonia, not elsewhere classified└J12.1Respiratory syncytial virus pneumonia
└J12.1Respiratory syncytial virus pneumonia

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