2020 ICD-10-CM Diagnosis Code J06.9

Acute upper respiratory infection, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
  • J06.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM J06.9 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J06.9 - other international versions of ICD-10 J06.9 may differ.
Applicable To
  • Upper respiratory disease, acute
  • Upper respiratory infection NOS
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (B95-B97
    ICD-10-CM Range B95-B97

    Bacterial and viral infectious agents

    Note
    • These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.
    • B95 Streptococcus, Staphylococcus, and Enter...
    • B96 Other bacterial agents as the cause of d...
    • B97 Viral agents as the cause of diseases cl...
    ) to identify infectious agent, if known, such as:
  • respiratory syncytial virus (RSV) (
    ICD-10-CM Diagnosis Code B97.4

    Respiratory syncytial virus as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • RSV as the cause of diseases classified elsewhere
    Code First
    • related disorders, such as:
    • otitis media (H65.-)
    • upper respiratory infection (J06.9)
    Type 2 Excludes
    • acute bronchiolitis due to respiratory syncytial virus (RSV) (J21.0)
    • acute bronchitis due to respiratory syncytial virus (RSV) (J20.5)
    • respiratory syncytial virus (RSV) pneumonia (J12.1)
    B97.4
    )
The following code(s) above J06.9 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to J06.9:
  • J00-J99
    2020 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • 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).
    Type 2 Excludes
    • 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)
    Use Additional
    • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Diseases of the respiratory system
  • J00-J06
    2020 ICD-10-CM Range J00-J06

    Acute upper respiratory infections

    Type 1 Excludes
    • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
    • influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
    Acute upper respiratory infections
  • J06
    ICD-10-CM Diagnosis Code J06

    Acute upper respiratory infections of multiple and unspecified sites

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory infection NOS (J22)
    • streptococcal pharyngitis (J02.0)
    Acute upper respiratory infections of multiple and unspecified sites
Approximate Synonyms
  • Acute upper respiratory infection
  • Upper respiratory infection
  • Upper respiratory infection in pregnancy
  • Upper respiratory tract infection (uri)
Clinical Information
  • A disorder characterized by an infectious process involving the upper respiratory tract (nose, paranasal sinuses, pharynx, larynx, or trachea).
  • An infectious process affecting the upper respiratory tract (nose, paranasal sinuses, pharynx, larynx, or trachea). Symptoms include congestion, sneezing, coughing, fever, and sore throat.
ICD-10-CM J06.9 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 011 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face, mouth & neck diagnoses or laryngectomy without cc/mcc
  • 152 Otitis media and uri with mcc
  • 153 Otitis media and uri without mcc

Convert J06.9 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to J06.9:
  • Code First: B97.4
    ICD-10-CM Diagnosis Code B97.4

    Respiratory syncytial virus as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • RSV as the cause of diseases classified elsewhere
    Code First
    • related disorders, such as:
    • otitis media (H65.-)
    • upper respiratory infection (J06.9)
    Type 2 Excludes
    • acute bronchiolitis due to respiratory syncytial virus (RSV) (J21.0)
    • acute bronchitis due to respiratory syncytial virus (RSV) (J20.5)
    • respiratory syncytial virus (RSV) pneumonia (J12.1)
  • Type 1 Excludes: J22
    , J39
    ICD-10-CM Diagnosis Code J22

    Unspecified acute lower respiratory infection

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Acute (lower) respiratory (tract) infection NOS
    Type 1 Excludes
    • upper respiratory infection (acute) (J06.9)
    ICD-10-CM Diagnosis Code J39

    Other diseases of upper respiratory tract

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory infection NOS (J22)
    • acute upper respiratory infection (J06.9)
    • upper respiratory inflammation due to chemicals, gases, fumes or vapors (J68.2)

Diagnosis Index entries containing back-references to J06.9:

ICD-10-CM Codes Adjacent To J06.9
J04.3 Supraglottitis, unspecified
J04.30 …… without obstruction
J04.31 …… with obstruction
J05 Acute obstructive laryngitis [croup] and epiglottitis
J05.0 Acute obstructive laryngitis [croup]
J05.1 Acute epiglottitis
J05.10 …… without obstruction
J05.11 …… with obstruction
J06 Acute upper respiratory infections of multiple and unspecified sites
J06.0 Acute laryngopharyngitis
J06.9 Acute upper respiratory infection, unspecified
J09 Influenza due to certain identified influenza viruses
J09.X Influenza due to identified novel influenza A virus
J09.X1 …… with pneumonia
J09.X2 …… with other respiratory manifestations
J09.X3 …… with gastrointestinal manifestations
J09.X9 …… with other manifestations
J10 Influenza due to other identified influenza virus
J10.0 Influenza due to other identified influenza virus with pneumonia
J10.00 Influenza due to other identified influenza virus with unspecified type of pneumonia
J10.01 Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.