ICD-10-CM Diagnosis Code P23.6 - Congenital pneumonia due to other bacterial agents (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code P23.6
Congenital pneumonia due to other bacterial agents
ICD-10-CM Code:
P23.6
ICD-10 Code for:
Congenital pneumonia due to other bacterial agents
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:
P23.6 is a billable diagnosis code used to specify a medical diagnosis of congenital pneumonia due to other bacterial agents. 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
- Approximate Synonyms
- Clinical Classification
- Tabular List of Diseases and Injuries
- Index to Diseases and Injuries References
- Convert to ICD-9 Code
- Patient Education
- Other Codes Used Similar Conditions
- Code History
- Certain conditions originating in the perinatal period
P00–P96
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Congenital bacterial pneumonia
- Congenital bacterial pneumonia
- Congenital group A hemolytic streptococcal pneumonia
- Congenital pneumonia
- Congenital pneumonia
- Infection caused by Enterococcus
- Infection caused by vancomycin resistant Enterococcus
- Pneumonia caused by Enterococcus
- Pneumonia caused by vancomycin resistant Enterococcus
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: PNL009
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.
CCSR Code: PNL006
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.
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
- - congenital (infective) - P23.9
* - due to
* - bacterium NEC - P23.6
* - Haemophilus influenzae - P23.6
* - Klebsiella pneumoniae - P23.6
* - Mycoplasma - P23.6
* - Streptococcus (except group B) - P23.6
- - congenital (infective) - P23.9
References found for this diagnosis code in the External Cause of Injuries Index:
- Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
- congenital (infective)
- due to
- bacterium NEC
- due to
- congenital (infective)
- Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
- congenital (infective)
- due to
- Haemophilus influenzae
- due to
- congenital (infective)
- Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
- congenital (infective)
- due to
- Klebsiella pneumoniae
- due to
- congenital (infective)
- Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
- congenital (infective)
- due to
- Mycoplasma
- due to
- congenital (infective)
- Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
- congenital (infective)
- due to
- Streptococcus (except group B)
- due to
- congenital (infective)
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: 770.0
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Bacterial Infections
What are bacteria?
Bacteria are tiny organisms (living things) that have only one cell. Under a microscope, they look like balls, rods, or spirals. They can be found almost everywhere on Earth. There are lots of bacteria in and on your body. In fact, your body has about 10 times more bacteria cells than human cells.
There are many different types of bacteria. Most types don't make you sick. Some types are helpful. For example, "good" bacteria in your digestive system can help your body digest food and absorb vitamins and minerals. They can help protect you from getting sick. Bacteria are also used in making foods like yogurt and cheese.
But some types of bacteria can cause an infection and make you sick. They are called infectious bacteria. These bacteria can reproduce quickly in your body. Many of them give off toxins (poisons) that can damage your cells and make you sick. Other types can move into and damage your tissues. A few examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.
How do bacterial infections spread?
There are different ways that bacterial infections may spread:
- Through droplets and particles that are breathed out by someone who has the infection. You might breathe in the droplets or particles, or they could land on your mouth, nose, or eyes.
- By touching surfaces or objects that have the bacteria on them and then touching your mouth, nose, or eyes.
- Through cuts, scrapes, and skin-to-skin contact with someone who has the infection.
- From the pregnant parent to the baby during pregnancy.
- Through contaminated food or water.
- By being bitten by an infected insect or animal.
- Through sexual contact (usually vaginal, anal and oral sex) with someone who has the infection.
What are the treatments for bacterial infections?
Sometimes your immune system may be able to fight off a bacterial infection. But when you do need treatment, it will be with antibiotics.
When you take antibiotics, follow the directions carefully. Each time you take them, there is a risk that the bacteria will become resistant to the effects of the antibiotics. This is called antibiotic resistance. When this happens, the bacteria are not killed, and they continue to grow. They can cause resistant infections, which can be difficult, and sometimes impossible, to treat.
Can bacterial infections be prevented?
You can help prevent some bacterial infections by:
- Getting vaccines that protect against bacterial infections.
- Having good hygiene habits. These include washing your hands often and covering your mouth and nose when coughing or sneezing.
- Paying attention to food safety.
- Cleaning and disinfecting surfaces that your frequently touch.
- Preventing insect bites by using a U.S. Environmental Protection Agency (EPA)-registered insect repellent. when you go outdoors. If you travel to an area that has a high risk of diseases from insect bites, also wear long pants, shirts, and socks.
- Practicing safe sex. This means using a latex condom every time you have anal, vaginal, or oral sex. If your or your partner is allergic to latex, you can use polyurethane condoms.
- Avoiding close contact with people who are sick.
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
Uncommon Infant and Newborn Problems
It can be scary when your baby is sick, especially when it is not an everyday problem like a cold or a fever. You may not know whether the problem is serious or how to treat it. If you have concerns about your baby's health, call your health care provider right away.
Learning information about your baby's condition can help ease your worry. Do not be afraid to ask questions about your baby's care. By working together with your health care provider, you make sure that your baby gets the best care possible.
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.
