2025 ICD-10-CM code J10.1
(Active) Effective Date: N/A Diseases of the respiratory system - Influenza due to identified seasonal influenza virus 10 Feed
Influenza due to other identified influenza virus with other respiratory manifestations.
Medical necessity for this code is established by the confirmation of influenza through diagnostic testing and the presence of respiratory symptoms. The documentation should clearly link the respiratory manifestations to the influenza infection.
Physicians use this code when a patient presents with influenza caused by an identified seasonal influenza virus, and exhibits respiratory manifestations other than pneumonia.Documentation of the patient's signs and symptoms is crucial. It is the physician’s responsibility to ensure accurate and specific coding to reflect the patient’s condition.
In simple words: This code indicates the flu caused by a known type of influenza virus with respiratory symptoms like a sore throat, cough and stuffy nose, but not pneumonia.
This code encompasses influenza caused by a known seasonal influenza virus (not avian, swine, or novel) presenting with respiratory symptoms besides pneumonia. This includes symptoms such as laryngitis, pharyngitis, or upper respiratory symptoms.
Example 1: A patient tests positive for influenza B and presents with a cough, sore throat (pharyngitis), and runny nose., A patient with a confirmed influenza A infection complains of laryngitis and nasal congestion, but their lungs are clear., A child tests positive for a seasonal influenza virus and has a persistent cough and sneezing, but no other symptoms.
Documentation should include the type of influenza virus identified, as well as the specific respiratory manifestations present.Symptoms like cough, sore throat, runny nose, nasal congestion, and laryngitis should be clearly noted. If other symptoms or complications are present (e.g., pleural effusion, sinusitis), these should also be documented and coded.
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Infectious Disease
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home