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

ICD-10 Coding for Viral Upper Respiratory Infection

J06.9
J02.8

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

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

Essential facts and insights about ICD-10 Coding for Viral 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:
  • • Presence of URI symptoms without bacterial infection indicators
coding:
  • • No specific viral organism identified

Applicable To

  • • Viral upper respiratory infection
  • • Common cold

Important Notes

  • • Ensure documentation specifies viral nature and excludes bacterial causes.

Acute pharyngitis due to other specified organisms

Billable Code
J02.8
Billable

Diagnostic Criteria

clinical:
  • • Identification of specific viral organism causing pharyngitis

Applicable To

  • • Viral pharyngitis with identified organism

Important Notes

  • • Document the specific virus causing pharyngitis.
Ancillary Codes

Additional codes that may be used with this diagnosis

B97.81

Human metapneumovirus as the cause of diseases classified elsewhere

Use when a specific virus like human metapneumovirus is identified.

B97.0

Adenovirus as the cause of diseases classified elsewhere

Use when adenovirus is identified as the cause.

Frequently Asked Questions

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

The ICD-10 code for an unspecified viral upper respiratory infection is J06.9. Use this code when the specific viral cause is not identified.

How do you code a viral URI with a specific organism?

For a viral URI with a specific organism, use J02.8 with an additional code to identify the organism, such as B97.0 for adenovirus.

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