Pneumonia due to other streptococci

This diagnosis code signifies lung inflammation caused by streptococcal bacteria other than Streptococcus pneumoniae or Group B Streptococcus. It indicates a bacterial pneumonia where the specific streptococcal species has been identified as something other than the two excluded types.

Apply this code when documentation explicitly states pneumonia due to streptococci, and laboratory results or physician notes specify a streptococcal species other than Streptococcus pneumoniae or Group B Streptococcus. Examples include pneumonia caused by Streptococcus pyogenes (Group A Strep) or Streptococcus viridans.

• Ensure the documentation clearly identifies the causative organism as a streptococcus, and specifically rules out Streptococcus pneumoniae and Group B Streptococcus.
• Do not use this code if the documentation simply states "streptococcal pneumonia" without further specificity; query the provider for clarification.
• Remember the "Excludes1" notes: never code this with pneumonia due to Streptococcus pneumoniae or pneumonia due to Group B Streptococcus.