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Home/Diagnosis/ICD-10 Coding for Chronic Hypoxia

ICD-10 Coding for Chronic Hypoxia

J96.11
J96.19

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

Also Known as:
Chronic Hypoxemic Respiratory Failure
Chronic Respiratory Failure with Hypoxia
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Key Information: ICD-10 Coding for Chronic Hypoxia

Essential facts and insights about ICD-10 Coding for Chronic Hypoxia

Use ICD-10 code J96.11 for chronic respiratory failure with hypoxia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic respiratory failure with hypoxia

Billable Code
J96.11
Billable

Diagnostic Criteria

clinical:
  • • Chronic hypoxia with documented SpO₂ ≤88% on room air
documentation:
  • • Explicit linkage of hypoxia to chronic respiratory failure

Applicable To

  • • Chronic hypoxemic respiratory failure

Important Notes

  • • Ensure documentation specifies chronicity and links hypoxia to the underlying condition.

Chronic respiratory failure, unspecified

Non-Billable
J96.19
Non-Billable

Diagnostic Criteria

clinical:
  • • Chronic respiratory symptoms without specific hypoxia or hypercapnia documentation

Applicable To

  • • Chronic respiratory insufficiency

Important Notes

  • • Ensure documentation supports the lack of specificity.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z99.81

Dependence on supplemental oxygen

Use to indicate long-term oxygen therapy in chronic hypoxia cases.

Frequently Asked Questions

What is the ICD-10 code for chronic hypoxia?

The ICD-10 code for chronic hypoxia is J96.11, which indicates chronic respiratory failure with hypoxia.

How is chronic hypoxia documented?

Chronic hypoxia documentation requires specific lab values like SpO₂ ≤88% and PaO₂ ≤60 mmHg, and must link hypoxia to an underlying condition.

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