ICD-10-CM Diagnosis Code J15.29 - Pneumonia due to other staphylococcus (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code J15.29
Pneumonia due to other staphylococcus
ICD-10-CM Code:
J15.29
ICD-10 Code for:
Pneumonia due to other staphylococcus
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:
J15.29 is a billable diagnosis code used to specify a medical diagnosis of pneumonia due to other staphylococcus. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.
- Code Information
- Clinical Classification
- Tabular List of Diseases and Injuries
- Index to Diseases and Injuries References
- Diagnostic Related Groups Mapping
- Convert to ICD-9 Code
- Patient Education
- Other Codes Used Similar Conditions
- Code History
- Diseases of the respiratory system
J00–J99
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
CCSR Code: INF003
Inpatient Default: N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
CCSR Code: RSP002
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) - J18.9
- - in (due to)
* - Staphylococcus - J15.20
* - specified NEC - J15.29 - - staphylococcal (broncho) (lobar) - J15.20
* - specified NEC - J15.29
- - in (due to)
References found for this diagnosis code in the External Cause of Injuries Index:
- Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
- in (due to)
- Staphylococcus
- specified NEC
- Staphylococcus
- in (due to)
- Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
- staphylococcal (broncho) (lobar)
- specified NEC
- staphylococcal (broncho) (lobar)
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
ICD-9-CM: 482.49
This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.
Pneumonia
What is pneumonia?
Pneumonia is an infection in one or both of your lungs. It causes the air sacs of your lungs to fill up with fluid or pus. Pneumonia can range from mild to severe, depending on what caused it, your age, and your overall health.
What causes pneumonia?
Bacterial, viral, and fungal infections can cause pneumonia.
Bacteria are the most common cause. Bacterial pneumonia can occur on its own. It can also develop after you've had certain viral infections such as a cold or the flu. Several different types of bacteria can cause pneumonia, including:
- Streptococcus pneumoniae
- Legionella pneumophila; this type of pneumonia is often called Legionnaires' disease
- Mycoplasma pneumoniae
- Chlamydia pneumoniae
- Haemophilus influenzae type b (Hib)
Viruses that infect the respiratory tract may cause pneumonia. Viral pneumonia is often mild and goes away on its own within a few weeks. But sometimes it is serious enough that you need to get treatment in a hospital. If you have viral pneumonia, you are at risk of also getting bacterial pneumonia. The different viruses that can cause pneumonia include:
- Respiratory syncytial virus (RSV)
- Some common cold and flu viruses
- SARS-CoV-2, the virus that causes COVID-19
Fungal pneumonia is more common in people who have chronic health problems or weakened immune systems. Some of the types include:
- Pneumocystis pneumonia (PCP)
- Valley fever (Coccidioidomycosis)
- Histoplasmosis
- Cryptococcal pneumonia
Aspiration can also cause pneumonia. It can happen when you aspirate (accidentally breathe in) food or fluid into the lungs. If you are not able to cough out the food or fluid, it may cause an infection.
Who is more likely to develop pneumonia?
Anyone can develop pneumonia, but certain factors can increase your risk:
- Age; the risk is higher for children who are age 2 and under and adults age 65 and older.
- Exposure to certain chemicals, pollutants, or toxic fumes.
- Lifestyle habits, such as smoking, heavy alcohol use, and malnourishment.
- Being in a hospital, especially if you are in the ICU. Being sedated and/or on a ventilator raises the risk even more.
- Having a lung disease.
- Having a weakened immune system.
- Have trouble coughing or swallowing, from a stroke or other condition.
- Recently having been sick with a cold or the flu.
- Other chronic (long-lasting) health conditions, including diabetes, heart failure, sickle cell disease, liver disease, and kidney disease.
What are the symptoms of pneumonia?
The symptoms of pneumonia can range from mild to severe and include:
- Fever
- Chills
- Cough, usually with phlegm (a type of thick mucus made in your lungs)
- Shortness of breath
- Chest pain when you breathe or cough
- Nausea and/or vomiting
- Diarrhea
The symptoms can vary for different groups. Newborns and infants may not show any signs of the infection. Others may vomit and have a fever and cough. They might seem sick, with no energy, or be restless.
Older adults and people who have serious illnesses or weak immune systems may have fewer and milder symptoms. They may even have a lower-than-normal temperature. Older adults who have pneumonia sometimes may feel weak or suddenly get confused.
What other problems can pneumonia cause?
Sometimes pneumonia can cause serious complications such as:
- Bacteremia, which happens when the bacteria move into the bloodstream. It is serious and can lead to septic shock.
- Lung abscesses, which are collections of pus in cavities of the lungs.
- Pleural disorders, which are conditions that affect the pleura. The pleura is the tissue that covers the outside of the lungs and lines the inside of your chest cavity.
- Kidney failure.
- Respiratory failure.
How is pneumonia diagnosed?
Sometimes pneumonia can be hard to diagnose. This is because it can cause some of the same symptoms as a cold or the flu. It may take time for you to realize that you have a more serious condition.
To find out if you have pneumonia, your health care provider:
- Will take your medical history, which includes asking about your symptoms
- Will do a physical exam, which includes listening to your lungs with a stethoscope
- May order various tests, such as:
- A chest x-ray
- Blood tests such as a complete blood count (CBC) to see if your immune system is actively fighting an infection
- A blood culture to find out whether you have a bacterial infection that has spread to your bloodstream
If you are in the hospital, have serious symptoms, are older, or have other health problems, you may also have more tests, such as:
- Sputum test, which checks for bacteria in a sample of your sputum (mucus that is brought up from the lungs by coughing).
- Chest CT scan to see how much of your lungs are affected. It may also show if you have complications such as lung abscesses or pleural effusions (a buildup of fluid in the pleural space).
- Pleural fluid culture, which checks for bacteria in a fluid sample that was taken from the pleural space.
- Pulse oximetry or blood oxygen level test, to check how much oxygen is in your blood.
- Bronchoscopy, a procedure used to look inside your lungs' airways.
What are the treatments for pneumonia?
Treatment for pneumonia depends on the type of pneumonia, which germ is causing it, and how severe it is:
- Antibiotics treat bacterial pneumonia and some types of fungal pneumonia. They do not work for viral pneumonia.
- In some cases, your provider may prescribe antiviral medicines for viral pneumonia.
- Antifungal medicines treat other types of fungal pneumonia.
You may need to be treated in a hospital if your symptoms are severe or if you are at risk for complications. While there, you may get additional treatments. For example, if your blood oxygen level is low, you may receive oxygen therapy.
It may take time to recover from pneumonia. Some people feel better within a week. For other people, it can take a month or more.
Can pneumonia be prevented?
Vaccines can help prevent pneumonia caused by pneumococcal bacteria or the flu virus. Washing your hands often, not smoking, and having a healthy lifestyle may also help prevent pneumonia.
NIH: National Heart, Lung, and Blood Institute
Staphylococcal Infections
What are Staphylococcal (staph) infections?
Staphylococcus (staph) is a group of bacteria. There are more than 30 types. A type called Staphylococcus aureus causes most infections.
Staph bacteria can cause many different types of infections, including:
- Skin infections, which are the most common types of staph infections.
- Bacteremia, an infection of the bloodstream. This can lead to sepsis, a very serious immune response to infection.
- Bone infections.
- Endocarditis, an infection of the inner lining of the heart chambers and valves.
- Food poisoning.
- Pneumonia.
- Toxic shock syndrome (TSS), a life-threatening condition caused by toxins from certain types of bacteria.
What causes staph infections?
Some people carry staph bacteria on their skin or in their noses, but they do not get an infection. But if they get a cut or wound, the bacteria can enter the body and cause an infection.
Staph bacteria can spread from person to person. They can also spread on objects, such as towels, clothing, door handles, athletic equipment, and remotes. If you have staph and do not handle food properly when you are preparing it, you can also spread staph to others.
Who is more likely to get a staph infection?
Anyone can develop a staph infection, but certain people are more likely to get one, including those who:
- Have a chronic condition such as diabetes, cancer, vascular disease, eczema, and lung disease
- Have a weakened immune system, such as from HIV, medicines to prevent organ rejection, or chemotherapy
- Had surgery
- Are in the hospital
- Use a catheter, breathing tube, or feeding tube
- Have an implanted device, such as a pacemaker or artificial joint or heart valve
- Have burns, especially if they are deep or cover a large area of the body
- Are on dialysis
- Inject illegal drugs
- Do contact sports, since you may have skin-to-skin contact with others or share equipment
What are the symptoms of staph infections?
The symptoms of a staph infection depend on the type of infection:
- Skin infections can look like pimples or boils. They may be red, swollen, and painful. Sometimes there is pus or other drainage. They can turn into impetigo, which turns into a crust on the skin, or cellulitis, a swollen, red area of skin that feels hot.
- Bone infections can cause pain, swelling, warmth, and redness in the infected area. You may also have chills and a fever.
- Endocarditis causes some flu-like symptoms: fever, chills, and fatigue. It also causes symptoms such as rapid heartbeat, shortness of breath, and fluid buildup in your arms or legs.
- Food poisoning typically causes nausea and vomiting, diarrhea, and fever. If you lose too many fluids, you may also become dehydrated.
- Pneumonia symptoms include a high fever, chills, and cough that doesn't get better. You may also have chest pain and shortness of breath.
- Toxic shock syndrome (TSS) causes high fever, sudden low blood pressure, vomiting, diarrhea, and confusion. You may have a sunburn-like rash somewhere on your body. TSS can lead to organ failure.
How are staph infections diagnosed?
Your health care provider will do a physical exam and ask about your symptoms. Often, providers can tell if you have a staph skin infection by looking at it. To check for other types of staph infections, providers may do a culture, with a skin scraping, tissue sample, stool sample, or throat or nasal swabs. There may be other tests, such as imaging tests, depending on the type of infection.
What are the treatments for staph infections?
Treatment for staph infections is antibiotics. Depending on the type of infection, the antibiotics might be a cream, ointment, medicines (to swallow), or intravenous (IV) medicine. If you have an infected wound, your provider might drain it. Sometimes you may need surgery for bone infections.
Some staph infections, such as MRSA (methicillin-resistant Staphylococcus aureus), are resistant to many antibiotics. There are still certain antibiotics that can treat these infections.
Can staph infections be prevented?
Certain steps can help to prevent staph infections:
- Use good hygiene, including washing your hands often.
- Don't share towels, sheets, or clothing with someone who has a staph infection.
- It's best not to share athletic equipment. If you do need to share, make sure that it is properly cleaned and dried before you use it.
- Practice food safety, including not preparing food for others when you have a staph infection.
- If you have a cut or wound, keep it covered.
FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
