Non-Billable / Non-Specific Code
ICD-10-CM J16 is the diagnosis code for Pneumonia due to other infectious organisms, not elsewhere classified. This code falls under the section "Influenza and pneumonia" within Chapter 10 — Diseases of the respiratory system (J00-J99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as J16. They are mutually exclusive:
Understanding where J16 sits in the ICD-10-CM classification helps ensure proper coding:
No, J16 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
J16 is the ICD-10-CM diagnosis code for "Pneumonia due to other infectious organisms, not elsewhere classified". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
J16 is located in Section J09-J18 — "Influenza and pneumonia" within Chapter 10 of the ICD-10-CM Tabular List.
J16 has 2 sub-code(s) that provide more specific detail: J16.0, J16.8.
Use J16 when the patients documented diagnosis matches "Pneumonia due to other infectious organisms, not elsewhere classified" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Pneumonia due to other infectious organisms, not elsewhere classified is J16.
No, J16 is non-billable. Use a more specific sub-code for primary diagnosis billing.
J16 is in Chapter 10 of the ICD-10-CM Tabular List.
Type 1 Excludes for J16 include: congenital pneumonia (P23.-); ornithosis (A70); pneumocystosis (B59) and more.
Yes, J16 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.