ICD-10-CM Code J12.1
Respiratory syncytial virus pneumonia
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.J12.1 is a billable ICD code used to specify a diagnosis of respiratory syncytial virus pneumonia. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
The ICD code J121 is used to code Human respiratory syncytial virus
Human respiratory syncytial virus (RSV) is a syncytial virus that causes respiratory tract infections. It is a major cause of lower respiratory tract infections and hospital visits during infancy and childhood. A prophylactic medication (not a vaccine) exists for preterm (under 35 weeks gestation) infants, infants with certain congenital heart defects (CHD) or bronchopulmonary dysplasia (BPD), and infants with congenital malformations of the airway. Treatment is limited to supportive care (e.g. C-PAP), including oxygen therapy.
| Specialty: | Pediatrics |
| MeSH Code: | D018357 |
| ICD 9 Code: | 796 |
An x ray of a child with RSV showing the typical bilateral perihilar fullness
MS-DRG Mapping
- DRG Group #193-195 - Simple pneumonia and pleurisy with MCC.
- DRG Group #193-195 - Simple pneumonia and pleurisy with CC.
- DRG Group #193-195 - Simple pneumonia and pleurisy without CC or MCC.
Coding Advice SNOMET-CT
- Consider additional code to identify specific condition or disease
ICD-10-CM Alphabetical Index References for 'J12.1 - Respiratory syncytial virus pneumonia'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code J12.1. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 480.1 was previously used, J12.1 is the appropriate modern ICD10 code.
Parent Code: J12 - Viral pneumonia, not elsewhere classified