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ICD-10-CM Code for Pneumonia due to Streptococcus pneumoniae J13

ICD-10 code J13 for Pneumonia due to Streptococcus pneumoniae is a medical classification as listed by WHO under the range - Diseases of the respiratory system .

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Official Long Descriptor

Pneumonia due to Streptococcus pneumoniae
Bronchopneumonia due to S. pneumoniae
Code also associated abscess, if applicable (J85.1)
Code first associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Excludes1: congenital pneumonia due to S. pneumoniae (P23.6)
lobar pneumonia, unspecified organism (J18.1)
pneumonia due to other streptococci (J15.3-J15.4)

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM J13 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
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Lower Lobe Pneumonia vs. Lobar Pneumonia
[b]Coding Clinic for Lobar Pneumonia[/b] I realize you posted your question several years ago now. I myself was researching coding Lobar Pneumonia when you had a dx of Lower Lobe Pneumonia and I cam... [ Read More ]
Lower Lobe Pneumonia vs. Lobar Pneumonia pneumonia
I have a case of some debate. The MD finial Dx was "Left lower lobe pneumonia". In ICD -9 -- yes, I know we aren't using that anymore but hear me out. In ICD-9 there was a coding clinic 1985 March-... [ Read More ]
Minutes of 4/24/13 Meeting
Minutes of 4/24/13 Meeting Speakers: Linda Johnson Larkin, Medicare Part A Lead and Christine Laniszcak, Provider Outreach and Education Consultant  Observation Room Services  Inpatient  O... [ Read More ]
Need coding Help for 11420
Who is your MAC? I know NGS J13 MAC has an LCD (L27362) for lesion removal and unless they meet very specific criteria they're considered cosmetic and not medically necessary. You should check with ... [ Read More ]
Minutes of July 18, 2012 Meeting: Medicare Part B Update Seminar
Speakers: Linda Teti and Judy Brown of Medicare University 3 pm-6 pm Topics included:  2012 Medicare Updates and Significant Changes  2012 Medicare Fee Schedule  Top Claim Submission Error... [ Read More ]
toenail removal
11730 is more appropriate. 11750 is for permanent removal and your note does not give any indication that this was permanent. Check with the insurance company on whether I&D is also billable. I know... [ Read More ]
Medicare Revalidation
I don't know where you're located but NGS J13 has an Independent diagnostic Testing Facility Matrix on their website under their Resources/Tools and Materials section. This list the requirements for ... [ Read More ]
ER Consult by General Surgeon
Unless the patient has medicare or a medicare advantage plan you would bill an outpatient consult. If the patient has medicare you should check with your MAC regarding how they want these billed. NGS... [ Read More ]
Event Monitors
Gotta love those sales reps, I always say the best part of any of these products are the sales reps. I don't know where you are located, but NGS Medicare J13 has an LCD (L26415) and supplemental arti... [ Read More ]
Medicare and cardionets/93228/93229
National Government Services (J13) has an LCD for these codes (L26415). I'm not sure what area you're in or who your MAC is, but you should check with them for an LCD. NGS covers these codes, but th... [ Read More ]
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