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Home/Diagnosis/ICD-10 Coding for Acute on Chronic Respiratory Failure

ICD-10 Coding for Acute on Chronic Respiratory Failure

J96.21
J96.22

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

Also Known as:
Acute exacerbation of chronic respiratory failure
Acute and chronic respiratory insufficiency
Acute-on-chronic respiratory insufficiency
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Key Information: ICD-10 Coding for Acute on Chronic Respiratory Failure

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

Use ICD-10 code J96.21 for acute and chronic respiratory failure with hypoxia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute and chronic respiratory failure with hypoxia

Billable Code
J96.21
Billable

Diagnostic Criteria

  • • pO2 <60 mmHg on room air or >10 mmHg drop from baseline
  • • Symptoms like dyspnea, tachypnea, accessory muscle use

Applicable To

  • • Acute on chronic respiratory failure with hypoxia

Important Notes

  • • Ensure documentation specifies 'acute on chronic' and links to the etiology.

Acute and chronic respiratory failure with hypercapnia

Billable Code
J96.22
Billable

Diagnostic Criteria

  • • pCO2 >50 mmHg with pH <7.35
  • • Increased work of breathing, cyanosis

Applicable To

  • • Acute on chronic respiratory failure with hypercapnia

Important Notes

  • • Ensure documentation specifies 'acute on chronic' and links to the etiology.
Ancillary Codes

Additional codes that may be used with this diagnosis

J44.1

COPD with acute exacerbation

Use to specify the underlying cause of respiratory failure.

Frequently Asked Questions

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

The ICD-10 code for acute on chronic respiratory failure with hypoxia is J96.21, and with hypercapnia is J96.22.

How do you document acute on chronic respiratory failure?

Documentation should specify 'acute on chronic' and include ABG values, symptoms, and link to underlying causes like COPD.

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