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Home/Diagnosis/ICD-10 Coding for Acute Hypoxic Respiratory Failure

ICD-10 Coding for Acute Hypoxic Respiratory Failure

J96.01
J96.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute hypoxic respiratory failure includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Acute Respiratory Failure with Hypoxia
Hypoxic Respiratory Failure
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Key Information: ICD-10 Coding for Acute Hypoxic Respiratory Failure

Essential facts and insights about ICD-10 Coding for Acute Hypoxic Respiratory Failure

Use ICD-10 code J96.01 for acute respiratory failure with hypoxia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute respiratory failure with hypoxia

Billable Code
J96.01
Billable

Diagnostic Criteria

clinical:
  • • Presence of acute hypoxia with pO2 <60 mmHg and clinical signs.
documentation:
  • • Documented need for high-flow oxygen or mechanical ventilation.

Applicable To

  • • Acute hypoxic respiratory failure

Important Notes

  • • Ensure documentation specifies acute hypoxia with clinical indicators.

Acute-on-chronic respiratory failure with hypoxia

Billable Code
J96.21
Billable

Diagnostic Criteria

clinical:
  • • Acute drop in pO2 ≥10 mmHg from baseline
  • • Documented chronic respiratory condition

Applicable To

  • • Acute exacerbation of chronic hypoxic respiratory failure

Important Notes

  • • Ensure acute and chronic components are clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

J18.9

Pneumonia, unspecified organism

Use to specify the underlying cause of respiratory failure.

J44.1

COPD with acute exacerbation

Use to specify the chronic condition exacerbating the respiratory failure.

Frequently Asked Questions

What is the ICD-10 code for acute hypoxic respiratory failure?

The ICD-10 code for acute hypoxic respiratory failure is J96.01. It is used when there is documented acute hypoxia with clinical signs such as tachypnea and requires treatment.

Can J96.01 and J96.02 be coded together?

Yes, if both hypoxia (pO2 <60 mmHg) and hypercapnia (pCO2 >50 mmHg + pH <7.35) are documented, J96.01 and J96.02 can be coded together.

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