2026 ICD-10-CM Diagnosis Code J06.9Acute upper respiratory infection, unspecified
ICD-10-CM Codes›J00–J99›J00-J06›J06
- Billable — Valid for Submission
- Not Chronic
J06.9 is a billable ICD-10-CM diagnosis code for acute upper respiratory infection, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 152 through 153. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified upper respiratory infections.
This medical diagnosis code is frequently used in Family Practice and Internal Medicine medical specialties to designate conditions such acute respiratory infections.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute respiratory disease
- Acute upper respiratory infection
- Acute upper respiratory infection caused by respiratory syncytial virus
- Bacterial upper respiratory infection
- COVID-19
- Cyst of nasal sinus
- Infection of mucous cyst of nasal sinus
- Infection of upper respiratory tract caused by fungus
- Infection of upper respiratory tract caused by SARS-CoV-2
- Mucopyocele
- Nasal sinus mucocele
- Recurrent upper respiratory tract infection
- Upper respiratory infection
- Viral respiratory infection
- Viral upper respiratory tract infection
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Upper respiratory disease, acute
- Upper respiratory infection NOS
Use Additional Code
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Disease, diseased - See Also: Syndrome;
- acute or subacute NOS - J06.9
- acute or subacute - J06.9
- streptococcal - J06.9
- Infection, infected, infective (opportunistic) - B99.9
- respiratory (tract) NEC - J98.8
- upper (acute) NOS - J06.9
- streptococcal - J06.9
- Inflammation, inflamed, inflammatory (with exudation)
- respiratory, upper - See Also: Infection, respiratory, upper; - J06.9
- Tracheopharyngitis (acute) - J06.9
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Disease, diseased
- respiratory (tract)
- acute or subacute NOS
- Disease, diseased
- respiratory (tract)
- upper
- acute or subacute
- Disease, diseased
- respiratory (tract)
- upper
- streptococcal
- Infection, infected, infective(opportunistic)
- respiratory (tract) NEC
- upper (acute) NOS
- Infection, infected, infective(opportunistic)
- respiratory (tract) NEC
- upper (acute) NOS
- streptococcal
- Infection, infected, infective(opportunistic)
- respiratory (tract) NEC
- upper (acute) NOS
- viral NOS
- Infection, infected, infective(opportunistic)
- respiratory (tract) NEC
- upper (acute) NOS
- viral NOS
- due to respiratory syncytial virus (RSV)
- Infection, infected, infective(opportunistic)
- virus, viral NOS
- respiratory syncytial (RSV)
- upper respiratory infection
- Inflammation, inflamed, inflammatory(with exudation)
- respiratory, upper
- Tracheopharyngitis(acute)
- Virus, viral
- respiratory syncytial (RSV)
- upper respiratory infection
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Common Cold
The common cold is a mild infection of your upper respiratory tract (which includes your nose and throat). Colds are probably the most common illness. Adults have an average of 2-3 colds per year, and children have even more. Colds are more common in the winter and spring, but you can get them at any time.
The full article covers:
- What is the common cold?
- What causes the common cold?
- What are the symptoms of the common cold?
- What are the treatments for the common cold?
- Can the common cold be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert J06.9 to ICD-9-CMHistory
Code HistoryHistory
Questions About J06.9Overview
Is J06.9 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report acute upper respiratory infection, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does J06.9 group to?
When acute upper respiratory infection, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 152, 153, with relative weights from 0.7382 to 1.1822 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of J06.9?
Under the General Equivalence Mappings, acute upper respiratory infection, unspecified converts to ICD-9-CM 465.8 (acute uri mult sites NEC) and 465.9 (acute uri NOS). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
