ICD Code J15.9

ICD code J15.9 is unspecified bacterial pneumonia, meaning a lung infection caused by bacteria, but the specific type of bacteria has not been identified.

1. Patient presents with clinical signs and symptoms consistent with pneumonia, such as cough, fever, chills, dyspnea, and abnormal breath sounds.

2. Radiographic evidence (e.g., chest X-ray) confirms the presence of pneumonia.

3. Laboratory or microbiological testing does not identify a specific bacterial pathogen.

4. Other causes of pneumonia (viral, fungal, or non-infectious etiologies) have been reasonably excluded.

5. The diagnosis is documented as bacterial pneumonia, but the specific bacterial organism is not specified or not known.

Relevant CPT codes that may be used to treat ICD code J15.9 include:

99202–99215 (Office or other outpatient evaluation and management services)

99221–99223 (Initial hospital care, per day, for the evaluation and management of a patient)

99231–99233 (Subsequent hospital care, per day, for the evaluation and management of a patient)

99238–99239 (Hospital discharge day management)

94010 (Spirometry, including graphic record)

94640 (Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes)

36415 (Collection of venous blood by venipuncture)

87070 (Culture, bacterial; any other source except urine, blood or stool)

71045 (Radiologic examination, chest; single view)

71046 (Radiologic examination, chest; two views)

96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

90732 (Pneumococcal vaccine, adult or immunosuppressed patient)

CPT code selection should be based on the specific services rendered and clinical documentation.

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