Other viral pneumonia

This code signifies pneumonia caused by a viral agent not specified elsewhere in the ICD-10-CM classification. It represents an acute inflammatory condition of the lung parenchyma resulting from a viral infection, presenting with symptoms like cough, fever, and dyspnea. The specific viral pathogen is known to be non-influenza and non-COVID-19, but its exact type is not further detailed.

This code is appropriate when documentation confirms a diagnosis of viral pneumonia, and the specific viral etiology is identified but does not have a more specific ICD-10-CM code (e.g., adenovirus, RSV in adults, parainfluenza virus). It should be used when the physician explicitly states "other viral pneumonia" or a specific viral pneumonia not otherwise classified. Supporting documentation includes laboratory confirmation of a viral pathogen (other than influenza or SARS-CoV-2) and clinical findings consistent with pneumonia.

• Do not use this code if the specific viral agent is known and has a more precise ICD-10-CM code (e.g., influenza, COVID-19).
• Always review the medical record for specific viral identification; if available, code to the most specific viral pneumonia.
• Consider sequencing: if another condition is the primary reason for the encounter, this code may be a secondary diagnosis.