Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.
Applicable to
Pneumonia due to 2019 novel coronavirus (SARS-CoV-2)
Pneumonia due to COVID-19
Code first
COVID-19 (U07.1)
Applies from J12 Viral pneumonia, not elsewhere classified
Includes
bronchopneumonia due to viruses other than influenza viruses
Excludes2 (not included here)
aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
aspiration pneumonia due to anesthesia during pregnancy (O29)
aspiration pneumonia due to anesthesia during puerperium (O89.0)
aspiration pneumonia due to solids and liquids (J69.-)
aspiration pneumonia NOS (J69.0)
congenital pneumonia (P23.0)
congenital rubella pneumonitis (P35.0)
interstitial pneumonia NOS (J84.9)
lipid pneumonia (J69.1)
neonatal aspiration pneumonia (P24.-)
Code first
associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code also
associated abscess, if applicable (J85.1)
MS-DRG index
Defines the logic of DRG(s) 193-195 in MDC 04.
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to J12.82
Back-references to J12.82
Code Also: M35.81 Multisystem inflammatory syndrome ("pneumonia due to COVID-19 (J12.82)")
Use Additional: U07.1 COVID-19 ("pneumonia due to COVID-19 (J12.82)")
Use Additional: J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified ("bacterial or viral pneumonia (J12-J18)")