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Home/Diagnosis/ICD-10 Coding for Acute Respiratory Failure with Hypoxia and Hypercapnia

ICD-10 Coding for Acute Respiratory Failure with Hypoxia and Hypercapnia

J96.01
J96.02
J96.03

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

Also Known as:
Acute Hypoxemic and Hypercapnic Respiratory Failure
Acute Respiratory Insufficiency with Hypoxia and Hypercapnia
acute hypoxic hypercapnic respiratory failure
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Key Information: ICD-10 Coding for Acute Respiratory Failure with Hypoxia and Hypercapnia

Essential facts and insights about ICD-10 Coding for Acute Respiratory Failure with Hypoxia and Hypercapnia

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

  • • Presence of hypoxia with ABG showing pO2 <60 mmHg

Applicable To

  • • Acute hypoxemic respiratory failure

Important Notes

  • • Ensure ABG results are documented to support the diagnosis.

Acute respiratory failure with hypercapnia

Billable Code
J96.02
Billable

Diagnostic Criteria

  • • pCO2 >50 mmHg with pH <7.35
  • • Respiratory acidosis on ABG

Applicable To

  • • Acute hypercapnic respiratory failure

Important Notes

  • • Ensure ABG results are documented to support the diagnosis.

Acute respiratory failure with both hypoxia and hypercapnia

Non-Billable
J96.03
Non-Billable

Diagnostic Criteria

  • • pO2 <60 mmHg and pCO2 >50 mmHg with pH <7.35
  • • Combined respiratory acidosis and hypoxemia on ABG

Applicable To

  • • Acute respiratory failure with combined hypoxia and hypercapnia

Important Notes

  • • Ensure ABG results are documented to support the diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

J44.1

COPD with acute exacerbation

Use when COPD exacerbation is the underlying cause of respiratory failure.

Frequently Asked Questions

What is the ICD-10 code for acute respiratory failure with hypoxia and hypercapnia?

The ICD-10 code for acute respiratory failure with both hypoxia and hypercapnia is J96.03.

How do you code acute on chronic respiratory failure with hypoxia and hypercapnia?

Use J96.22 for acute-on-chronic respiratory failure with hypercapnia, ensuring documentation supports both acute and chronic elements.

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