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Home/Diagnosis/ICD-10 Coding for Hypercapnia

ICD-10 Coding for Hypercapnia

J96.02
J96.12
J96.22

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

Also Known as:
Carbon dioxide retention
CO2 retention
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Key Information: ICD-10 Coding for Hypercapnia

Essential facts and insights about ICD-10 Coding for Hypercapnia

Use ICD-10 code J96.02 for acute respiratory failure with hypercapnia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute respiratory failure with hypercapnia

Billable Code
J96.02
Billable

Diagnostic Criteria

  • • ABG showing PaCO2 >50 mmHg
  • • pH <7.35
  • • Acute symptoms such as dyspnea, altered mental status

Applicable To

  • • Acute hypercapnic respiratory failure

Important Notes

  • • Ensure documentation specifies 'acute' and includes ABG results.

Chronic respiratory failure with hypercapnia

Billable Code
J96.12
Billable

Diagnostic Criteria

  • • Sustained PaCO2 >50 mmHg
  • • Chronic condition such as COPD

Applicable To

  • • Chronic hypercapnic respiratory failure

Important Notes

  • • Document chronicity and baseline ABG results.

Acute on chronic respiratory failure with hypercapnia

Billable Code
J96.22
Billable

Diagnostic Criteria

  • • Baseline chronic hypercapnia with acute exacerbation
  • • ABG showing acute increase in PaCO2

Applicable To

  • • Acute and chronic hypercapnic respiratory failure

Important Notes

  • • Ensure documentation reflects both chronic baseline and acute changes.

Unspecified respiratory failure with hypercapnia

Billable Code
J96.92
Billable

Diagnostic Criteria

  • • General symptoms of respiratory failure
  • • Lack of specific ABG results

Applicable To

  • • Respiratory failure with hypercapnia, unspecified

Important Notes

  • • Avoid use if specific acuity can be determined.
Ancillary Codes

Additional codes that may be used with this diagnosis

E87.2

Acidosis

Use if acidosis is present with pH <7.35.

G47.36

Sleep-related hypoventilation

Use if sleep-related hypoventilation is documented.

Frequently Asked Questions

What is the ICD-10 code for hypercapnia?

Hypercapnia is coded under respiratory failure with hypercapnia, using codes like J96.02 for acute cases and J96.12 for chronic cases.

How do you document hypercapnic respiratory failure?

Document hypercapnic respiratory failure by specifying acuity (acute, chronic), providing ABG results, and linking to an underlying cause.

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