What is the ICD10 code for a patient diagnosed with Influenza B?

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ICD-10 Code for Influenza B

The ICD-10 code for Influenza B is J10 (Influenza due to other identified influenza virus), with specific subcodes available for complications.

Primary Diagnostic Codes

The ICD-10 coding system uses the following codes for Influenza B:

  • J10: Influenza due to other identified influenza virus (includes Influenza B) 1, 2, 3
  • J10.0: Influenza with pneumonia, other influenza virus identified 3
  • J10.1: Influenza with other respiratory manifestations, other influenza virus identified 3
  • J10.8: Influenza with other manifestations, other influenza virus identified 3

Important Coding Distinctions

J09 is reserved specifically for novel influenza A virus subtypes (such as avian or pandemic strains), not for seasonal Influenza B 1, 2, 3. The J10 code encompasses both Influenza B and seasonal Influenza A strains that are not novel 1, 3.

J11 represents influenza virus not identified (clinician-diagnosed influenza without laboratory confirmation) and should only be used when laboratory testing was not performed 1, 2, 3.

Coding Accuracy Considerations

Specificity and Sensitivity

  • ICD-10 influenza codes demonstrate high specificity (98.0-98.2%) and high positive predictive value (82.8-88.6%) for laboratory-confirmed influenza 1
  • However, sensitivity is moderate (48.6% in emergency departments, 70.7% in inpatients), meaning many laboratory-confirmed cases may not receive an influenza diagnosis code 1
  • When an ICD-10 influenza diagnosis is coded, it likely represents a true-positive case 1

Clinical Context Affecting Accuracy

Coding accuracy varies by:

  • Patient age: Accuracy differs across age groups (0-1 years, 2-4 years, 5-17 years) 1
  • Clinical setting: Emergency department vs. inpatient coding shows different sensitivity patterns 1
  • Timing of testing: Time between symptom onset and testing affects diagnostic accuracy 1
  • Season definition: Coding patterns vary during peak vs. off-peak influenza periods 1

Common Pitfalls to Avoid

  • Do not use J09 for routine Influenza B cases—this code is exclusively for novel Influenza A subtypes 1, 2, 3
  • Avoid J11 when laboratory confirmation is available—always use J10 for confirmed Influenza B 1, 3
  • Be aware of underestimation: Surveillance systems using only ICD-coded data may significantly underestimate true influenza burden, particularly in outpatient settings 3
  • Consider laboratory confirmation: ICD-10 codes alone have limited sensitivity, so laboratory testing remains essential for accurate diagnosis and surveillance 1, 3, 4

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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