J14 Pneumonia due to Hemophilus influenzae

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Bronchopneumonia due to H. influenzae

Excludes1 (never code together)

• congenital pneumonia due to H. influenzae (P23.6)

Code first

• , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

Code also

• , if applicable, any associated condition such as:
• abscess (J85.1)
• aspiration pneumonia (J69.-)

Applies from J14 Pneumonia due to Hemophilus influenzae

Applicable to

• Bronchopneumonia due to H. influenzae

Excludes1 (never code together)

• congenital pneumonia due to H. influenzae (P23.6)

Code first

• , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

Code also

• , if applicable, any associated condition such as:
• abscess (J85.1)
• aspiration pneumonia (J69.-)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 115 — Pneumococcal Pneumonia, Empyema, Lung Abscess
• ESRD V24: HCC 115

MS-DRG index

Defines the logic of DRG(s) 193-195 in MDC 04.

Approximate ICD-9-CM (GEMs)

• 482.2 Pneumonia due to Hemophilus influenzae [H. influenzae]

Code annotations containing back-references to J14

Back-references to J14

• Code Also: D81.82 Activated Phosphoinositide 3-kinase Delta Syndrome [APDS] ("pneumonia (J12-J18)")
• Use Additional: J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified ("bacterial or viral pneumonia (J12-J18)")

Back-references to J14

• Code Also: D81.82 Activated Phosphoinositide 3-kinase Delta Syndrome [APDS] ("pneumonia (J12-J18)")
• Use Additional: J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified ("bacterial or viral pneumonia (J12-J18)")

Diagnosis Index entries for J14

• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › broncho-, bronchial (confluent) (croupous) (diffuse) (disseminated) (hemorrhagic) (involving lobes) (lobar) (terminal) › Hemophilus influenzae
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › Hemophilus influenzae (broncho) (lobar)
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › in (due to) › Hemophilus influenzae (H. influenzae)
• Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) › lobar (disseminated) (double) (interstitial) › Hemophilus influenzae

Nearby codes

• J14 Pneumonia due to Hemophilus influenzae (this code)