2026 ICD-10-CM Diagnosis Code J80Acute respiratory distress syndrome
ICD-10-CM Codes›J00–J99›J80-J84›J80
- Billable — Valid for Submission
- MCC — Major Complication or Comorbidity
- Risk Adjusts — HCC 213
- Not Chronic
J80 is a billable ICD-10-CM diagnosis code for acute respiratory distress syndrome. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 189. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 22 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory failure; insufficiency; arrest.
For Medicare Advantage risk adjustment, J80 maps to CMS-HCC Category 213 (Cardio-Respiratory Failure and Shock) under the V28 model, adding a risk factor of about 0.370 for a community, non-dual, aged beneficiary in payment year 2026.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
J80 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2026.
Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute respiratory distress syndrome
- Acute respiratory distress syndrome due to COVID-19
- Acute respiratory distress syndrome due to dabbing
- Acute respiratory distress syndrome due to vaping
- Disorder due to vaping
- Falciparum malaria
- Infectious edema
- Interstitial lung disorder due to dabbing
- Interstitial lung disorder due to vaping
- Malarial shock lung
- Postoperative pulmonary edema
- Pulmonary insufficiency following shock
- Pulmonary insufficiency following surgery
- Pulmonary insufficiency following trauma
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Acute respiratory distress syndrome in adult or child
- Adult hyaline membrane disease
Type 1 Excludes
- respiratory distress syndrome in newborn perinatal P22.0
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.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disease, diseased See Also: Syndrome;
Syndrome See Also: Disease;
shock-lung J80
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Falciparum Malaria
malaria resulting from infection by plasmodium falciparum.
Patient EducationClinical
Respiratory Failure
Respiratory failure is a condition in which your blood doesn't have enough oxygen or has too much carbon dioxide. Sometimes you can have both problems.
The full article covers:
- What is respiratory failure?
- What causes respiratory failure?
- What are the symptoms of respiratory failure?
- How is respiratory failure diagnosed?
- What are the treatments for respiratory failure?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert J80 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About J80Overview
What is the ICD-10 code for acute respiratory distress syndrome?
The ICD-10-CM code for acute respiratory distress syndrome is J80. It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is J80 (Acute respiratory distress syndrome) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report acute respiratory distress syndrome on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does J80 group to?
When acute respiratory distress syndrome is the principal diagnosis on an inpatient stay, it groups to MS-DRG 189 (pulmonary Edema and Respiratory Failure), which carries a relative weight of 1.2354. Higher weights mean higher Medicare reimbursement.
Is J80 a CC or MCC?
CMS lists J80 as an MCC (major complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 22 closely related codes in its exclusion list.
What is the ICD-9 equivalent of J80?
Under the General Equivalence Mappings, acute respiratory distress syndrome converts to ICD-9-CM 518.82 (other pulmonary insuff). The mapping is approximate, so confirm the match fits the documentation.
What HCC is J80?
J80 (acute respiratory distress syndrome) maps to CMS-HCC Category 213 (Cardio-Respiratory Failure and Shock), commonly written as HCC 213, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2026. It mapped to HCC 84 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.
Does J80 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, J80 adds a risk adjustment factor of about 0.370 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.258 to 0.662 depending on the payment segment). A more severe related category (HCC 211 and HCC 212) supersedes it when both are reported. See the full factor table on the HCC 213 category page.
