J13

ICD-10Billable

Pneumonia due to Streptococcus pneumoniae

Official ICD-10-CM descriptor (FY2026)

Pneumonia due to Streptococcus pneumoniae

J13 is valid for submission on a claim — CMS flags it as a billable, specific code.

Inclusion terms

  • Bronchopneumonia due to S. pneumoniae

Excludes1

Not coded here. An Excludes1 code should never be reported at the same time as the code above it.

  • 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

Sequence the underlying condition before this code.

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

Code also

Two codes may be needed; sequencing depends on the reason for the encounter.

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

Where this code sits

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Source

ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order” (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.

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