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Home/Diagnosis/ICD-10 Coding for Upper Respiratory Tract Infection (J06.9)

ICD-10 Coding for Upper Respiratory Tract Infection (J06.9)

J06.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for upper respiratory tract infection (j06.9) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
URTI
Upper Respiratory Infection
Common Cold
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Key Information: ICD-10 Coding for Upper Respiratory Tract Infection (J06.9)

Essential facts and insights about ICD-10 Coding for Upper Respiratory Tract Infection (J06.9)

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 upper respiratory symptoms without specific pathogen identification
coding:
  • • Avoid using with J00 or J20 codes

Applicable To

  • • General URTI without confirmed pathogen

Important Notes

  • • Ensure documentation specifies 'acute' and 'unspecified' to justify the use of J06.9.
Ancillary Codes

Additional codes that may be used with this diagnosis

B97.8

Viral agent as the cause of diseases classified elsewhere

Use when a viral cause is identified for the URTI.

Frequently Asked Questions

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

The ICD-10 code for an unspecified upper respiratory tract infection is J06.9. It is used when the infection is confirmed but the specific pathogen is not identified.

When should B97.8 be used with J06.9?

B97.8 should be used with J06.9 when a viral cause is identified and local guidelines require it, such as in WA state.

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