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ICD10BillableValid for clinical use

ICD-10 Code J13: Pneumonia due to Streptococcus pneumoniae

J13 is a billable ICD-10 diagnosis code used to classify Pneumonia due to Streptococcus pneumoniae in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the respiratory system (J00-J99).

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the respiratory system (J00-J99).

When is it used?

  • May be used when a clinician documents pneumonia due to streptococcus pneumoniae in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
10Diseases of the respiratory system (J00-J99)
block
J09-J18Influenza and pneumonia
currentJ09-J18

Official coding notes

Inclusion terms
  • Bronchopneumonia due to S. pneumoniae
Applicable to
  • , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)
Excludes1 (do not code together)
  • congenital pneumonia due to S. pneumoniae (P23.6)
  • lobar pneumonia, unspecified organism (J18.1)
  • pneumonia due to other streptococci (J15.3-J15.4)
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.-)

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

PulmonologistGeneral Physician

Coverage-related procedures and services

CPT 87801high
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), MULTIPLE ORGANISMS; AMPLIFIED PROBE(S) TECHNIQUE
Source: CMS coverage guidance
CPT 87631high
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); RESPIRATORY VIRUS (EG, ADENOVIRUS, INFLUENZA VIRUS, CORONAVIRUS, METAPNEUMOVIRUS, PARAINFLUENZA VIRUS, RESPIRATORY SYNCYTIAL VIRUS, RHINOVIRUS), INCLUDES MULTIPLEX REVERSE TRANSCRIPTION, WHEN PERFORMED, AND MULTIPLEX AMPLIFIED PROBE TECHNIQUE, MULTIPLE TYPES OR SUBTYPES, 3-5 TARGETS
Source: CMS coverage guidance
CPT 87636high
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]) AND INFLUENZA VIRUS TYPES A AND B, MULTIPLEX AMPLIFIED PROBE TECHNIQUE
Source: CMS coverage guidance
CPT 87637high
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]), INFLUENZA VIRUS TYPES A AND B, AND RESPIRATORY SYNCYTIAL VIRUS, MULTIPLEX AMPLIFIED PROBE TECHNIQUE
Source: CMS coverage guidance
CPT 94642high
AEROSOL INHALATION OF PENTAMIDINE FOR PNEUMOCYSTIS CARINII PNEUMONIA TREATMENT OR PROPHYLAXIS
Source: CMS coverage guidance
CPT 94728high
AIRWAY RESISTANCE BY OSCILLOMETRY
Source: CMS coverage guidance

Coding guidelines

Compatibility

Legacy and official ICD code match exactly.
Legacy codes
J13

Common synonyms

Pneumonia due to Streptococcus pneumoniae

Frequently asked questions

Code details

CodeJ13
SystemICD10
Display namePneumonia due to Streptococcus pneumoniae
ChapterDiseases of the respiratory system (J00-J99)
BlockInfluenza and pneumonia

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
Embolism(multiple) (paradoxical)Infection, infected, infective(opportunistic)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.