Respiratory failure, not elsewhere classified (J96)

The ICD-10 code section J96 covers various types of respiratory failure not classified elsewhere. It includes codes for acute, chronic, combined acute and chronic respiratory failure, as well as unspecified cases.

This section is used to code respiratory failure conditions characterized by inadequate oxygenation or carbon dioxide removal. The ICD-10 code for acute respiratory failure starts with J96.0, including subcodes like J96.01 for hypoxemic respiratory failure and J96.02 for hypercapnic respiratory failure. Synonyms such as "acute respiratory failure requiring reintubation" help clarify coding choices. Chronic respiratory failure is coded under J96.1 with subcategories for hypoxia (J96.11) and hypercapnia (J96.12). When acute and chronic conditions coexist, codes beginning with J96.2 apply, with options specifying hypoxia or hypercapnia. Unspecified respiratory failure codes, such as J96.9, cover cases without clear classification. Recognizing terms like "hypoxemic respiratory failure," "hypercapnic respiratory failure," or related synonyms assists medical coders and healthcare providers in selecting the precise code for documentation and billing.

Instructional Notations

Type 1 Excludes

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.

  • acute respiratory distress syndrome J80
  • cardiorespiratory failure R09.2
  • newborn respiratory distress syndrome P22.0
  • postprocedural respiratory failure J95.82
  • respiratory arrest R09.2
  • respiratory arrest of newborn P28.81
  • respiratory failure of newborn P28.5

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Hypercapnia

A clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.