Influenza due to unidentified influenza virus with specified pneumonia
ICD-10 J11.08 is a billable code used to indicate a diagnosis of influenza due to unidentified influenza virus with specified pneumonia.
J11.08 refers to influenza due to an unidentified influenza virus that is complicated by specified pneumonia. Clinically, patients may present with symptoms such as fever, cough, sore throat, body aches, and fatigue, which are typical of influenza. The pneumonia component can manifest as increased respiratory distress, productive cough with purulent sputum, and hypoxia. The respiratory system, particularly the lungs, is significantly affected, leading to inflammation and consolidation in lung tissue. Disease progression can vary; while many patients recover from influenza, those with pneumonia may experience severe complications, particularly in vulnerable populations such as the elderly, immunocompromised, or those with pre-existing lung conditions. Diagnostic considerations include clinical evaluation, chest imaging (e.g., X-ray or CT scan), and laboratory tests such as PCR or rapid influenza diagnostic tests to confirm the presence of the influenza virus. The identification of pneumonia often requires additional imaging and clinical assessment to determine the extent and type of pneumonia present.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J11.08 covers cases of influenza caused by an unidentified influenza virus that leads to pneumonia. This includes viral pneumonia and any complications arising from the influenza infection that affect lung function.
J11.08 should be used when the influenza virus is not identified, but pneumonia is present. If the influenza virus is identified, codes like J10.1 should be used instead.
Documentation should include clinical findings, diagnostic imaging results, laboratory test results confirming influenza, and a clear treatment plan that addresses both the influenza and pneumonia.
