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

ICD-10 Coding for Chronic Respiratory Failure

J96.11
J96.12

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

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

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

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

  • • PaO2 <60 mmHg on room air

Applicable To

  • • Chronic hypoxemic respiratory failure

Important Notes

  • • Ensure chronicity is documented with ABG results.

Chronic respiratory failure with hypercapnia

Billable Code
J96.12
Billable

Diagnostic Criteria

  • • PaCO2 >50 mmHg on multiple ABGs
  • • Chronic BiPAP use

Applicable To

  • • Chronic hypercapnic respiratory failure

Important Notes

  • • Ensure chronicity is documented with ABG results.
Ancillary Codes

Additional codes that may be used with this diagnosis

J44.9

Chronic obstructive pulmonary disease, unspecified

Use to specify COPD as an underlying cause.

J84.10

Pulmonary fibrosis, unspecified

Use to specify pulmonary fibrosis as an underlying cause.

Frequently Asked Questions

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

The ICD-10 code for chronic respiratory failure with hypoxia is J96.11, and for hypercapnia, it is J96.12.

How do you document chronic respiratory failure?

Document chronic respiratory failure by specifying the type (hypoxemic or hypercapnic), chronicity, ABG results, and underlying cause.

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