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

ICD-10 Coding for Viral Respiratory Infection

J06.9
J12.9

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

Also Known as:
Viral URI
Viral Upper Respiratory Infection
Viral Lower Respiratory Infection
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Key Information: ICD-10 Coding for Viral Respiratory Infection

Essential facts and insights about ICD-10 Coding for Viral 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

  • • Sudden onset of symptoms such as cough, sore throat, and nasal congestion
  • • Negative bacterial culture

Applicable To

  • • Common cold
  • • Viral rhinitis

Important Notes

  • • Ensure documentation specifies the acute nature and viral etiology.

Viral pneumonia, unspecified

Billable Code
J12.9
Billable

Diagnostic Criteria

  • • Radiographic evidence of pneumonia
  • • Positive viral test

Applicable To

  • • Pneumonia due to unspecified virus

Important Notes

  • • Ensure documentation includes evidence of viral etiology.
Ancillary Codes

Additional codes that may be used with this diagnosis

R05

Cough

Use to specify the presence of cough as a symptom.

B97.89

Other viral agents as the cause of diseases classified elsewhere

Use to specify the viral agent if identified.

Frequently Asked Questions

What is the ICD-10 code for viral respiratory infection?

The ICD-10 code for an unspecified viral respiratory infection is J06.9. For viral pneumonia, use J12.9 if the specific virus is not identified.

How do you code a viral respiratory infection?

Code J06.9 for unspecified viral upper respiratory infections and J12.9 for unspecified viral pneumonia. Use specific codes if the virus is identified.

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