J15.4
Billable codePneumonia due to other streptococci
The ICD-10 code for pneumonia due to other streptococci is J15.4.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- J15.0Pneumonia due to Klebsiella pneumoniae
- J15.1Pneumonia due to Pseudomonas
- J15.2Pneumonia due to staphylococcusnon-billable header
- J15.3Pneumonia due to streptococcus, group B
- J15.5Pneumonia due to Escherichia coli
- J15.6Pneumonia due to other Gram-negative bacterianon-billable header
- J15.7Pneumonia due to Mycoplasma pneumoniae
- J15.8Pneumonia due to other specified bacteria
- J15.9Unspecified bacterial pneumonia
- J15.4Pneumonia due to other streptococci
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 48231Approximate match
- 48239Approximate match
- 48230Approximate match
Associated MS-DRGs
J15.4 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.