ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesJ10.08

J10.08

Influenza due to other identified influenza virus with other specified pneumonia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J10.08 is a billable code used to indicate a diagnosis of influenza due to other identified influenza virus with other specified pneumonia.

Key Diagnostic Point:

J10.08 refers to influenza caused by other identified influenza viruses, accompanied by other specified pneumonia. Clinically, patients may present with symptoms such as fever, cough, sore throat, body aches, and fatigue, which are typical of influenza. The presence of pneumonia complicates the clinical picture, leading to increased respiratory distress, difficulty breathing, and potentially severe complications. The respiratory system, particularly the lungs, is primarily affected, as the influenza virus can cause inflammation and infection in the lung tissue. Disease progression can vary; while some patients may recover with supportive care, others may develop acute respiratory distress syndrome (ARDS) or require hospitalization. Diagnostic considerations include laboratory tests such as PCR or rapid influenza diagnostic tests to confirm the influenza virus type, alongside imaging studies like chest X-rays to identify pneumonia. A thorough clinical evaluation is essential to differentiate between viral and bacterial pneumonia, as treatment approaches differ significantly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation between viral and bacterial pneumonia.
  • Treatment complexity: May involve antiviral medications and supportive care.
  • Documentation requirements: Detailed clinical notes and lab results are necessary.
  • Coding specificity: Requires accurate identification of the influenza virus type and associated pneumonia.

Audit Risk Factors

  • Common coding errors: Misidentification of the influenza virus type.
  • Documentation gaps: Incomplete clinical notes regarding pneumonia severity.
  • Billing challenges: Potential denials due to lack of specificity in documentation.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of J10.08 lies in its association with increased morbidity and mortality, particularly in vulnerable populations such as the elderly and those with pre-existing respiratory conditions. Understanding the epidemiology of influenza and its complications can inform public health strategies and improve healthcare utilization patterns. Quality measures may include vaccination rates and timely treatment of influenza to prevent pneumonia, ultimately impacting population health outcomes.

ICD-9 vs ICD-10

The clinical significance of J10.08 lies in its association with increased morbidity and mortality, particularly in vulnerable populations such as the elderly and those with pre-existing respiratory conditions. Understanding the epidemiology of influenza and its complications can inform public health strategies and improve healthcare utilization patterns. Quality measures may include vaccination rates and timely treatment of influenza to prevent pneumonia, ultimately impacting population health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the services provided, such as antiviral therapy or hospitalization. Common denials may arise from insufficient documentation of the influenza type or the severity of pneumonia. Best practices include maintaining thorough clinical notes, ensuring that all relevant lab results are included, and using appropriate modifiers when necessary to clarify the medical necessity of the services rendered.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J10.08?

J10.08 covers cases of influenza due to other identified influenza viruses that lead to pneumonia, including atypical presentations and those requiring hospitalization.

When should J10.08 be used instead of related codes?

J10.08 should be used when the influenza virus type is identified and pneumonia is present, differentiating it from codes that do not specify pneumonia or those that refer to other types of influenza.

What documentation supports J10.08?

Documentation should include confirmed laboratory results identifying the influenza virus, clinical notes detailing the patient's symptoms, and imaging results indicating pneumonia.