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

ICD-10 Coding for Upper Respiratory Infection

J06.9
J00

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

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

Essential facts and insights about ICD-10 Coding for Upper 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

clinical:
  • • Absence of specific site involvement
documentation:
  • • Negative influenza and COVID-19 tests

Applicable To

  • • Acute viral upper respiratory infection

Important Notes

  • • Ensure documentation specifies the absence of localized symptoms to justify J06.9.

Acute nasopharyngitis (common cold)

Billable Code
J00
Billable

Applicable To

  • • Common cold

Important Notes

  • • Document nasal symptoms clearly to support J00 coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

R05

Cough

Use if cough persists beyond the acute phase of URI.

Frequently Asked Questions

What is the ICD-10 code for an unspecified upper respiratory infection?

The ICD-10 code for an unspecified upper respiratory infection is J06.9. It is used when the infection is not localized to a specific site.

Can J06.9 be used with asthma exacerbation?

Yes, J06.9 can be used with asthma exacerbation, but ensure asthma is the primary reason for the encounter.

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