ICD-10-CM 2027 diagnosis code
J09.X3Influenza due to identified novel influenza A virus with gastrointestinal manifestations
J09.X3 is a valid, billable ICD-10-CM code for influenza due to identified novel influenza a virus with gastrointestinal manifestations. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Influenza due to ident novel influenza A virus w GI manifest
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About J09.X3
J09.X3 is the ICD-10-CM diagnosis code for influenza due to identified novel influenza A virus with gastrointestinal manifestations. It belongs to category J09 (influenza due to certain identified influenza viruses), block J09-J18 (influenza and pneumonia) and chapter 10 (diseases of the respiratory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within J09.X (influenza due to identified novel influenza A virus), J09.X3 is specifically for influenza due to identified novel influenza A virus with gastrointestinal manifestations. Related codes cover with pneumonia (J09.X1), with other respiratory manifestations (J09.X2) and with other manifestations (J09.X9).
Don't report J09.X3 together with the conditions in its Excludes1 note: 'intestinal flu' [viral gastroenteritis] (A08.-).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 865 (Viral Illness with MCC, relative weight 1.3485) and DRG 866 (Viral Illness without MCC, relative weight 0.8692), in MDC 18 (Infectious and Parasitic Diseases, Systemic or Unspecified Sites), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 488.09 (influenza due to identified avian influenza virus with other manifestations) and 488.89 (influenza due to identified novel influenza A virus with other manifestations).
Coding notes
- Influenza due to identified novel influenza A virus gastroenteritis
- 'intestinal flu' [viral gastroenteritis] (A08.-)
Notes that apply from higher levels
Instructions written at a parent level also apply to J09.X3.
Broader instructions also apply from J09-J18 Influenza and pneumonia and Chapter 10: Diseases of the respiratory system.
Alphabetic index entries
4 entriesTerms in the official ICD-10-CM index that lead to J09.X3.
- Influenza (bronchial) (epidemic) (respiratory (upper)) (unidentified influenza virus) › due to › identified novel influenza A virus › with › digestive manifestations
- Influenza (bronchial) (epidemic) (respiratory (upper)) (unidentified influenza virus) › due to › identified novel influenza A virus › with › enteritis
- Influenza (bronchial) (epidemic) (respiratory (upper)) (unidentified influenza virus) › due to › identified novel influenza A virus › with › gastroenteritis
- Influenza (bronchial) (epidemic) (respiratory (upper)) (unidentified influenza virus) › due to › identified novel influenza A virus › with › gastrointestinal manifestations
Codes whose notes reference J09.X3
- A08Excludes1
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 18 · Infectious and Parasitic Diseases, Systemic or Unspecified Sites
ICD-9-CM equivalent
Converter →- 488.09Influenza due to identified avian influenza virus with other manifestationsapproximate
- 488.89Influenza due to identified novel influenza A virus with other manifestationsapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about J09.X3
Is J09.X3 billable?
- Yes. J09.X3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can J09.X3 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict J09.X3 as a principal diagnosis.
Is J09.X3 a CC or MCC?
- No. J09.X3 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does J09.X3 group to?
- J09.X3 is used in the MS-DRG v44.0 logic for MS-DRG 865 (Viral Illness with MCC) and MS-DRG 866 (Viral Illness without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for J09.X3?
- The CMS General Equivalence Mappings map J09.X3 to ICD-9-CM 488.09 and 488.89.