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Home/Diagnosis/ICD-10 Coding for Acute Respiratory Illness

ICD-10 Coding for Acute Respiratory Illness

J96.01
J80

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

Also Known as:
Acute Respiratory Failure
Acute Respiratory Distress Syndrome
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Key Information: ICD-10 Coding for Acute Respiratory Illness

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

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 hypoxia with acute respiratory failure
coding:
  • • Excludes ARDS (J80)

Applicable To

  • • Acute hypoxic respiratory failure

Important Notes

  • • Do not use J96.01 with J80 due to Excludes1 note.

Acute respiratory distress syndrome

Billable Code
J80
Billable

Diagnostic Criteria

clinical:
  • • PaO2/FiO2 ≤300
  • • Bilateral infiltrates on CXR/CT
  • • PEEP ≥5 cm H2O

Applicable To

  • • ARDS
Ancillary Codes

Additional codes that may be used with this diagnosis

J18.9

Unspecified pneumonia

Use alongside J96.01 when pneumonia is the underlying cause.

Frequently Asked Questions

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

The ICD-10 code for acute respiratory failure with hypoxia is J96.01. It requires documentation of hypoxia, such as PaO2 <60 mmHg or SpO2 <88%.

How do you code ARDS in ICD-10?

ARDS is coded as J80 in ICD-10. Ensure documentation includes bilateral infiltrates and PaO2/FiO2 ≤300.

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