ICD-10 J10
Non-Billable HeaderInfluenza due to other identified influenza virus
About ICD-10-CM J10
ICD-10-CM code J10 represents Influenza due to other identified influenza virus. This is a non-billable header code in the Respiratory System chapter (block J10). The 2026 edition of ICD-10-CM J10 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with J10. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- influenza due to avian influenza virus (J09.X-)
- influenza due to swine flu (J09.X-)
- influenza due to unidentifed influenza virus (J11.-)
Includes
- influenza A (non-novel)
- influenza B
- influenza C
Medicare LCD Coverage for J10
Local Coverage Determinations (LCDs) from CMS MACs that list J10 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J10.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J10 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with J10
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To J10
Other codes in section J09-J18 (Influenza and pneumonia).
ICD-10 J10, Billing FAQ
Is ICD-10 code J10 billable? +
No, J10 is a non-billable header code. Use a more specific child code from block J10 when submitting claims.
What codes are Type 1 Excludes for J10? +
Type 1 Excludes (never code together with J10): influenza due to avian influenza virus (J09.X-); influenza due to swine flu (J09.X-); influenza due to unidentifed influenza virus (J11.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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