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J18.8

Billable

Other pneumonia, unspecified organism

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

What This Code Means

Pneumonia with characteristics that don't fit into the standard categories (lobar, hypostatic, or bronchial) when the organism is not specified.

Coding Tips

  • Use this code for atypical presentations or when clinical documentation describes pneumonia that doesn't clearly fit J18.1 or J18.2
  • Review documentation carefully to ensure a more specific organism-based code (J15-J16) is not applicable

Code Hierarchy

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