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J15.9

Billable

Unspecified bacterial pneumonia

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

What This Code Means

A bacterial lung infection where the specific causative bacterium has not been identified or is unknown.

Coding Tips

  • Use only when culture results are negative, pending, or not performed; avoid if organism is documented
  • Query the provider if bacterial pneumonia is documented but organism is not specified, as more specific coding may be possible

Code Hierarchy

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