J15.7
BillablePneumonia due to Mycoplasma pneumoniae
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This is a lung infection caused by a specific bacterium called Mycoplasma pneumoniae, which typically causes a mild to moderate pneumonia often called 'walking pneumonia' because patients can sometimes continue their daily activities despite being sick.
Coding Tips
- •Ensure the documentation specifically identifies Mycoplasma pneumoniae as the causative organism; do not use this code for pneumonia of unspecified organism
- •This code is more specific than general pneumonia codes, so use it when the organism is confirmed through culture, PCR, or serological testing rather than presumptive diagnosis
Code Hierarchy
└J15Bacterial pneumonia, not elsewhere classified└J15.7Pneumonia due to Mycoplasma pneumoniae
└J15.7Pneumonia due to Mycoplasma pneumoniae