Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 ICD-10-CM code J12.82

Pneumonia due to coronavirus disease 2019 (COVID-19).

Code U07.1 first, followed by J12.82. Use additional codes for any other related conditions or complications.Refer to ICD-10-CM coding guidelines for the most current information.

Modifiers are generally not applicable to ICD-10-CM codes.

Medical necessity for J12.82 is established by the confirmed presence of both COVID-19 and pneumonia. The documentation must support the diagnosis of pneumonia as a direct consequence of the COVID-19 infection.

Physicians use this code to specify the cause of pneumonia when it is due to COVID-19. Accurate coding is essential for tracking the disease's impact and ensuring proper treatment.

IMPORTANT:Prior to 2021, J12.89 (Other viral pneumonia) was used. Do not use J12.89 for COVID-19 related pneumonia.Always code U07.1 (COVID-19) as the primary diagnosis.

In simple words: This code indicates pneumonia caused by COVID-19. It's used when someone with COVID-19 develops lung inflammation.

This code specifies pneumonia caused by the SARS-CoV-2 virus, the virus responsible for COVID-19.It should be used following a confirmed diagnosis of COVID-19 (U07.1) if the patient develops pneumonia.

Example 1: A patient diagnosed with COVID-19 (U07.1) develops symptoms such as cough, shortness of breath, and fever. A chest x-ray reveals lung infiltrates, confirming pneumonia.J12.82 is added as a secondary diagnosis., A patient admitted for COVID-19 (U07.1) subsequently develops difficulty breathing. Diagnostic tests confirm pneumonia related to the virus. J12.82 is coded after the primary diagnosis of U07.1., A patient with a history of COVID-19 presents with persistent respiratory issues. After examination and imaging, the physician determines that the patient has pneumonia as a consequence of the past COVID-19 infection. U07.1 and J12.82 are coded.

Documentation should include a confirmed diagnosis of COVID-19 (through a positive lab test or clinical criteria) and evidence of pneumonia (such as abnormal chest imaging, auscultatory findings, or other clinical indicators).

** It is crucial to stay updated on coding guidelines related to COVID-19 as they can evolve.Always consult the latest ICD-10-CM code set and guidelines for accurate coding.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.