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

ICD-10 Coding for Upper Respiratory Illness

J06.9

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

Also Known as:
Upper Respiratory Infection
URI
Common Cold
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Key Information: ICD-10 Coding for Upper Respiratory Illness

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

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

clinical:
  • • Presence of general URI symptoms without specific localization
coding:
  • • No specific organism or site identified

Applicable To

  • • Common cold
  • • Acute nasopharyngitis

Important Notes

  • • Ensure documentation supports the use of J06.9 by confirming the absence of more specific diagnoses.
Ancillary Codes

Additional codes that may be used with this diagnosis

R05

Cough

Use when cough is a prominent symptom of the URI.

Frequently Asked Questions

What is the ICD-10 code for upper respiratory illness?

The ICD-10 code for an unspecified acute upper respiratory infection is J06.9.

When should J06.9 be used?

Use J06.9 when symptoms of an upper respiratory infection are present but no specific diagnosis is made.

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