J13
Billable

Pneumonia due to Streptococcus pneumoniae

Billable / Specific Code

What is Pneumonia due to Streptococcus pneumoniae?

ICD-10-CM J13 is the diagnosis code for Pneumonia due to Streptococcus pneumoniae. This code falls under the section "Influenza and pneumonia" within Chapter 10 — Diseases of the respiratory system (J00-J99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for J13

✅ This Code Includes

  • Bronchopneumonia due to S. pneumoniae

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as J13. They are mutually exclusive:

  • congenital pneumonia due to S. pneumoniae (P23.6)
  • lobar pneumonia, unspecified organism (J18.1)
  • pneumonia due to other streptococci (J15.3-J15.4)

ICD-10-CM Code Hierarchy

Understanding where J13 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeJ13 — Pneumonia due to Streptococcus pneumoniae
Related Codes

Frequently Asked Questions

Is J13 a billable ICD-10-CM code?

Yes, J13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does J13 mean?

J13 is the ICD-10-CM diagnosis code for "Pneumonia due to Streptococcus pneumoniae". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is J13 in?

J13 is located in Section J09-J18 — "Influenza and pneumonia" within Chapter 10 of the ICD-10-CM Tabular List.

When should I use J13?

Use J13 when the patients documented diagnosis matches "Pneumonia due to Streptococcus pneumoniae" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Pneumonia due to Streptococcus pneumoniae?

The ICD-10-CM code for Pneumonia due to Streptococcus pneumoniae is J13.

Can J13 be used for primary diagnosis?

Yes, J13 can be used as a primary diagnosis code since it is billable and specific.

What chapter is J13 in?

J13 is in Chapter 10 of the ICD-10-CM Tabular List.

What conditions are excluded from J13?

Type 1 Excludes for J13 include: congenital pneumonia due to S. pneumoniae (P23.6); lobar pneumonia, unspecified organism (J18.1); pneumonia due to other streptococci (J15.3-J15.4).

Is J13 valid for 2026?

Yes, J13 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousJ12.9Viral pneumonia, unspecifiedNext →J14Pneumonia due to Hemophilus influenzae
Code Details
J13
Pneumonia due to Streptococcus pneumoniae
Billable / Specific Code
10 — Diseases of the respiratory system (J00-J99)
J09-J18 — Influenza and pneumonia
2026 ICD-10-CM