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J12.89

Billable

Other viral pneumonia

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

What This Code Means

Pneumonia caused by a viral infection other than the more common types like influenza or respiratory syncytial virus.

Coding Tips

  • Use this code when a specific viral pathogen is identified but doesn't fit into other J12 subcategories
  • Document the specific virus identified in the medical record for clarity and potential public health reporting

Code Hierarchy

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