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J96.20

Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 2 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 16 never code together
J96code
Excludes1
  • acute respiratory distress syndrome (J80)J80
  • cardiorespiratory failure (R09.2)R09.2
  • newborn respiratory distress syndrome (P22.0)P22.0
  • postprocedural respiratory failure (J95.82-)J95.82-
  • respiratory arrest (R09.2)R09.2
  • respiratory arrest of newborn (P28.81)P28.81
  • respiratory failure of newborn (P28.5)P28.5
J00-J99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • smoke inhalation (T59.81-)T59.81-
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 9
J96.2code
Inclusion terms
  • Acute on chronic respiratory failure
J00-J99chapter
Notes
  • 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).J40
Use additional code
  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)Z77.22
  • exposure to tobacco smoke in the perinatal period (P96.81)P96.81
  • history of tobacco dependence (Z87.891)Z87.891
  • occupational exposure to environmental tobacco smoke (Z57.31)Z57.31
  • tobacco dependence (F17.-)F17.-
  • tobacco use (Z72.0)Z72.0
Index entries leading here 1
  • Failure, failed
    • respiration, respiratory J96.90
      • acute and (on) chronic J96.20
Alongside this code 2 same parent — J96.2
Medications 3

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC84 CMS28HCC213 ESRD21HCC84 ESRD24HCC84

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
J96.2
Block
J96-J99
Siblings
2

Present FY2024–FY2027.