2025 ICD-10-CM code J10
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Infectious Disease - Influenza and pneumonia (J09-J18) Chapter X: Diseases of the respiratory system (J00-J99) Feed
Influenza due to other identified influenza viruses (excluding avian and swine flu).
ICD-10 codes do not utilize modifiers.
Medical necessity is established by the patient's clinical presentation and the need for diagnosis and treatment of influenza.The presence of symptoms consistent with influenza and laboratory confirmation support medical necessity.
The clinical responsibility will vary depending on the patient's presentation and the services provided.It is the responsibility of the clinician to provide appropriate diagnosis and treatment of influenza, including management of symptoms and complications.
In simple words: This code means you have the flu caused by a known type of flu virus, but not the bird flu or swine flu.The flu is a viral infection that can cause fever, body aches, headache, and cough.
This code encompasses influenza caused by identified influenza viruses other than those specified for avian influenza (J09.X-) or swine influenza (J09.X-).It includes influenza A (non-novel), influenza B, and influenza C.The code may be further specified with additional codes to indicate accompanying conditions such as pneumonia (J10.0), other respiratory manifestations (J10.1), or other manifestations (J10.8).Excludes influenza due to unidentified influenza virus (J11.-).
Example 1: A 35-year-old patient presents with fever, cough, muscle aches, and fatigue.Laboratory testing confirms influenza B.Code J10 is assigned., A 68-year-old patient with a history of COPD presents with worsening cough, shortness of breath, and fever.Chest x-ray shows pneumonia.Codes J10.0 (Influenza with pneumonia) and J18.9 (Pneumonia, unspecified organism) are assigned. Additional codes may be necessary to specify the type of pneumonia (e.g., bacterial pneumonia).Appropriate modifiers may be necessary depending on the provider's actions., A 12-year-old patient with a history of asthma presents with fever, cough, and wheezing.Influenza A is confirmed.Code J10.1 (Influenza with other respiratory manifestations) is assigned.
Documentation should include the patient's symptoms, physical exam findings, laboratory results (e.g., rapid influenza diagnostic test, viral culture), chest imaging (if performed), and treatment provided.
** Always consult the most current ICD-10-CM coding guidelines for the most accurate coding practices.The information provided here is for guidance only and should not be considered exhaustive.
- Revenue Code: Revenue codes will vary depending on the services provided and the payer. Consult your specific payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures and services provided, which will have associated RVUs.These values vary by location and payer.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.Reimbursement is determined by the procedures and services provided, which have associated RVUs.
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Infectious Disease
- Place of Service:Office, Hospital, Urgent Care, Other