2027 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 2027 (October 1, 2026 through September 30, 2027) 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 2027.
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 2027.
Source: CMS Payment Year 2027 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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to J80: its own notes plus those printed at Chapter 10. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Acute respiratory distress syndrome in adult or child
- Adult hyaline membrane disease
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- respiratory distress syndrome in newborn (perinatal) (P22.0)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- smoke inhalation (T59.81-)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Notes
General instructions on how these codes are used.
- When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name J80, its category, or a range that includes it.
Excludes1 4
These codes carry an Excludes1 note naming J80: they are not reported together with it, unless the two conditions are unrelated.
- J96 Respiratory failure, not elsewhere classifiedacute respiratory distress syndrome (J80)
- R06 Abnormalities of breathingacute respiratory distress syndrome (J80)
- R09 Other symptoms and signs involving the circulatory and respiratory systemacute respiratory distress syndrome (J80)
- T71 Asphyxiationacute respiratory distress (syndrome) (J80)
Excludes2 1
These codes carry an Excludes2 note naming J80: its condition is not part of those codes, and both may be reported when the patient has both.
- T79 Certain early complications of trauma, not elsewhere classifiedacute respiratory distress syndrome (J80)
Use Additional Code 2
These codes say to use an additional code from the note, and J80 is one of the codes named.
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
Acute Respiratory Distress Syndrome
progressive and life-threatening pulmonary distress in the absence of an underlying pulmonary condition, usually following major trauma or surgery. cases of neonatal respiratory distress syndrome are not included in this definition.
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, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
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 1.2107. Higher weights mean higher Medicare reimbursement.
Is J80 a CC or MCC?
CMS lists J80 as an MCC (major complication or comorbidity) for FY 2027. 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.
Can J80 be reported with P22.0?
Not as a rule. The Excludes1 note on J80 lists "respiratory distress syndrome in newborn (perinatal) (P22.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
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 2027. 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.
