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

ICD-10 Coding for Upper Respiratory Virus

J06.9
J00

Complete ICD-10-CM coding and documentation guide for icd-10 coding for upper respiratory virus 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 Virus

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

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:
  • • Symptoms consistent with an upper respiratory infection without specific pathogen identification.
coding:
  • • No specific pathogen identified in laboratory tests.
documentation:
  • • Documented symptoms of upper respiratory infection without specific pathogen identification.

Applicable To

  • • Upper respiratory disease infection NOS

Important Notes

  • • Avoid using J06.9 when a more specific code is available.

Acute nasopharyngitis [common cold]

Billable Code
J00
Billable

Diagnostic Criteria

clinical:
  • • Presence of symptoms typical of the common cold, such as runny nose and sore throat.

Applicable To

  • • Common cold

Important Notes

  • • Ensure symptoms align with those of a common cold.
Ancillary Codes

Additional codes that may be used with this diagnosis

B97.89

Other viral agents as the cause of diseases classified elsewhere

Use as an additional code to identify the specific virus causing the infection when known.

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 specific pathogen causing the infection is not identified.

How should upper respiratory infections be documented?

Document specific symptoms, test results, and any identified pathogens to ensure accurate coding and treatment decisions.

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