2020 ICD-10-CM Diagnosis Code J96

Respiratory failure, not elsewhere classified

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • J96 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM J96 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J96 - other international versions of ICD-10 J96 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J96. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acute respiratory distress syndrome (
    ICD-10-CM Diagnosis Code J80

    Acute respiratory distress syndrome

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Acute respiratory distress syndrome in adult or child
    • Adult hyaline membrane disease
    Type 1 Excludes
    • respiratory distress syndrome in newborn (perinatal) (P22.0)
    J80
    )
  • cardiorespiratory failure (
    ICD-10-CM Diagnosis Code R09.2

    Respiratory arrest

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Cardiorespiratory failure
    Type 1 Excludes
    • cardiac arrest (I46.-)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    • respiratory insufficiency (R06.89)
    • respiratory insufficiency of newborn (P28.5)
    R09.2
    )
  • newborn respiratory distress syndrome (
    ICD-10-CM Diagnosis Code P22.0

    Respiratory distress syndrome of newborn

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Cardiorespiratory distress syndrome of newborn
    • Hyaline membrane disease
    • Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn
    • Pulmonary hypoperfusion syndrome
    • Respiratory distress syndrome, type I
    Type 2 Excludes
    • respiratory arrest of newborn (P28.81)
    • respiratory failure of newborn NOS (P28.5)
    P22.0
    )
  • postprocedural respiratory failure (
    ICD-10-CM Diagnosis Code J95.82

    Postprocedural respiratory failure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • Respiratory failure in other conditions (J96.-)
    J95.82-
    )
  • respiratory arrest (
    ICD-10-CM Diagnosis Code R09.2

    Respiratory arrest

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Cardiorespiratory failure
    Type 1 Excludes
    • cardiac arrest (I46.-)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    • respiratory insufficiency (R06.89)
    • respiratory insufficiency of newborn (P28.5)
    R09.2
    )
  • respiratory arrest of newborn (
    ICD-10-CM Diagnosis Code P28.81

    Respiratory arrest of newborn

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    P28.81
    )
  • respiratory failure of newborn (
    ICD-10-CM Diagnosis Code P28.5

    Respiratory failure of newborn

      2016 2017 2018 2019 2020 Billable/Specific Code Code on Newborn Record
    Type 1 Excludes
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0-)
    P28.5
    )
The following code(s) above J96 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 J96:
  • 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
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 J96:
  • Type 1 Excludes: J95.82
    , R09
    , R06
    , R09.2
    ICD-10-CM Diagnosis Code J95.82

    Postprocedural respiratory failure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • Respiratory failure in other conditions (J96.-)
    ICD-10-CM Diagnosis Code R09

    Other symptoms and signs involving the circulatory and respiratory system

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory distress syndrome (J80)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress syndrome of newborn (P22.0)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    ICD-10-CM Diagnosis Code R06

    Abnormalities of breathing

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory distress syndrome (J80)
    • respiratory arrest (R09.2)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress syndrome of newborn (P22.-)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    ICD-10-CM Diagnosis Code R09.2

    Respiratory arrest

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Cardiorespiratory failure
    Type 1 Excludes
    • cardiac arrest (I46.-)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    • respiratory insufficiency (R06.89)
    • respiratory insufficiency of newborn (P28.5)
ICD-10-CM Codes Adjacent To J96
J95.850 Mechanical complication of respirator
J95.851 Ventilator associated pneumonia
J95.859 Other complication of respirator [ventilator]
J95.86 Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure
J95.860 Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
J95.861 Postprocedural hematoma of a respiratory system organ or structure following other procedure
J95.862 Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure
J95.863 Postprocedural seroma of a respiratory system organ or structure following other procedure
J95.88 Other intraoperative complications of respiratory system, not elsewhere classified
J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified
J96 Respiratory failure, not elsewhere classified
J96.0 Acute respiratory failure
J96.00 …… unspecified whether with hypoxia or hypercapnia
J96.01 …… with hypoxia
J96.02 …… with hypercapnia
J96.1 Chronic respiratory failure
J96.10 …… unspecified whether with hypoxia or hypercapnia
J96.11 …… with hypoxia
J96.12 …… with hypercapnia
J96.2 Acute and chronic respiratory failure
J96.20 …… unspecified whether with hypoxia or hypercapnia

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