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

ICD-10 Coding for Acute Respiratory Infection

J06.9
J20.9

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

Also Known as:
ARI
Upper Respiratory Infection
Lower Respiratory Infection
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Key Information: ICD-10 Coding for Acute Respiratory Infection

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

Use ICD-10 code J06.9 for acute upper respiratory infection, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute upper respiratory infection, unspecified

Billable Code
J06.9
Billable

Diagnostic Criteria

documentation_criteria:
  • • Document symptoms and lack of specific pathogen.
applicable_to:
  • • Common cold
  • • Acute nasopharyngitis
excludes:
  • • Chronic sinusitis
  • • Chronic pharyngitis
validation:
  • • Symptoms such as cough, sore throat, and nasal congestion without a specific pathogen identified.
notes:
  • • Ensure documentation specifies symptoms and lack of specific pathogen identification.
risks:
  • • Risk of undercoding if specific site or organism is documented but not coded.

Acute bronchitis, unspecified

Billable Code
J20.9
Billable

Diagnostic Criteria

applicable_to:
  • • Acute bronchitis NOS
excludes:
  • • Chronic bronchitis
  • • Bronchitis due to specific organisms
validation:
  • • Presence of cough, wheezing, and sputum production without specific organism identification.
notes:
  • • Ensure documentation specifies acute nature and lack of organism identification.
Ancillary Codes

Additional codes that may be used with this diagnosis

R05

Cough

Use to document the presence of cough as a symptom.

R06.02

Shortness of breath

Document if patient presents with dyspnea.

Frequently Asked Questions

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

The ICD-10 code for an unspecified acute respiratory infection is J06.9. Use specific codes if the site or organism is identified.

How do you code acute bronchitis?

Acute bronchitis is coded as J20.9 if unspecified. Use J20.4 for parainfluenza virus if identified.

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