ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J09.X3

Billable / Specific

Influenza due to identified novel influenza A virus with gastrointestinal manifestations

J09
Block
1
Synonyms
611
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM J09.X3

ICD-10-CM code J09.X3 represents Influenza due to identified novel influenza A virus with gastrointestinal manifestations. This is a billable/specific code in the Respiratory System chapter (block J09). The 2026 edition of ICD-10-CM J09.X3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J09.X3. Per CMS ICD-10-CM Tabular 2026.

  • Influenza due to identified novel influenza A virus gastroenteritis

Type 1 Excludes

Pure excludes, these codes can never be coded together with J09.X3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • 'intestinal flu' [viral gastroenteritis] (A08.-)

Medicare LCD Coverage for J09.X3

Local Coverage Determinations (LCDs) from CMS MACs that list J09.X3 as a covered diagnosis.

611 LCDs

Showing top 10 of 611 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J09.X3.

9 policies

5 Medicare

Nebulizers - Policy Article
Policy ID: ART-52466
Billing and Coding: Respiratory Care
Policy ID: ART-57224
Billing and Coding: Respiratory Pathogen Panel Testing
Policy ID: ART-58575
Billing and Coding: Respiratory Pathogen Panel Testing
Policy ID: ART-58577
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Policy ID: ART-58710

CPT Codes Commonly Billed with J09.X3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for J09.X3

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert J09.X3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J09.X3 48809 10000
J09.X3 48889 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To J09.X3

Other codes in section J09-J18 (Influenza and pneumonia).

J09 Influenza due to certain identified influenza viruses (non-billable) J09.X Influenza due to identified novel influenza A virus (non-billable) J09.X1 Influenza due to identified novel influenza A virus with pneumonia J09.X2 Influenza due to identified novel influenza A virus with other respiratory manifestations J09.X9 Influenza due to identified novel influenza A virus with other manifestations J10 Influenza due to other identified influenza virus (non-billable) J10.0 Influenza due to other identified influenza virus with pneumonia (non-billable) J10.00 Influenza due to other identified influenza virus with unspecified type of pneumonia J10.01 Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia J10.08 Influenza due to other identified influenza virus with other specified pneumonia J10.1 Influenza due to other identified influenza virus with other respiratory manifestations J10.2 Influenza due to other identified influenza virus with gastrointestinal manifestations J10.8 Influenza due to other identified influenza virus with other manifestations (non-billable) J10.81 Influenza due to other identified influenza virus with encephalopathy J10.82 Influenza due to other identified influenza virus with myocarditis J10.83 Influenza due to other identified influenza virus with otitis media J10.89 Influenza due to other identified influenza virus with other manifestations J11 Influenza due to unidentified influenza virus (non-billable) J11.0 Influenza due to unidentified influenza virus with pneumonia (non-billable) J11.00 Influenza due to unidentified influenza virus with unspecified type of pneumonia

ICD-10 J09.X3, Billing FAQ

Is ICD-10 code J09.X3 billable? +

Yes, J09.X3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to J09.X3? +

ICD-10 J09.X3 includes: Influenza due to identified novel influenza A virus gastroenteritis.

What codes are Type 1 Excludes for J09.X3? +

Type 1 Excludes (never code together with J09.X3): 'intestinal flu' [viral gastroenteritis] (A08.-)

What ICD-9 codes does J09.X3 map to? +

Per CMS GEMs, J09.X3 maps to ICD-9 codes: 48809, 48889. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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