2020 ICD-10-CM Diagnosis Code R06.4

Hyperventilation

    2016 2017 2018 2019 2020 Billable/Specific Code
  • R06.4 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 R06.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of R06.4 - other international versions of ICD-10 R06.4 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 R06.4. 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.
  • psychogenic hyperventilation (
    ICD-10-CM Diagnosis Code F45.8

    Other somatoform disorders

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Psychogenic dysmenorrhea
    • Psychogenic dysphagia, including 'globus hystericus'
    • Psychogenic pruritus
    • Psychogenic torticollis
    • Somatoform autonomic dysfunction
    • Teeth grinding
    Type 1 Excludes
    • sleep related teeth grinding (G47.63)
    F45.8
    )
The following code(s) above R06.4 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 R06.4:
  • R00-R99
    2020 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R06
    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)
    Abnormalities of breathing
Clinical Information
  • A pulmonary ventilation rate faster than is metabolically necessary for the exchange of gases. It is the result of an increased frequency of breathing, an increased tidal volume, or a combination of both. It causes an excess intake of oxygen and the blowing off of carbon dioxide.
  • Abnormally prolonged, rapid, and deep breathing.
ICD-10-CM R06.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 204 Respiratory signs and symptoms

Convert R06.4 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 R06.4:
  • Type 1 Excludes: R09.0
    ICD-10-CM Diagnosis Code R09.0

    Asphyxia and hypoxemia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • asphyxia due to carbon monoxide (T58.-)
    • asphyxia due to foreign body in respiratory tract (T17.-)
    • birth (intrauterine) asphyxia (P84)
    • hyperventilation (R06.4)
    • traumatic asphyxia (T71.-)
    Type 2 Excludes

Diagnosis Index entries containing back-references to R06.4:
  • Dyspnea (nocturnal) (paroxysmal) R06.00
    ICD-10-CM Diagnosis Code R06.00

    Dyspnea, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    • hyperventilation R06.4
  • Hyperventilation (tetany) R06.4
  • Tetany (due to) R29.0
    ICD-10-CM Diagnosis Code R29.0

    Tetany

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Carpopedal spasm
    Type 1 Excludes
    • hysterical tetany (F44.5)
    • neonatal tetany (P71.3)
    • parathyroid tetany (E20.9)
    • post-thyroidectomy tetany (E89.2)

ICD-10-CM Codes Adjacent To R06.4
R06 Abnormalities of breathing
R06.0 Dyspnea
R06.00 …… unspecified
R06.01 Orthopnea
R06.02 Shortness of breath
R06.03 Acute respiratory distress
R06.09 Other forms of dyspnea
R06.1 Stridor
R06.2 Wheezing
R06.3 Periodic breathing
R06.4 Hyperventilation
R06.5 Mouth breathing
R06.6 Hiccough
R06.7 Sneezing
R06.8 Other abnormalities of breathing
R06.81 Apnea, not elsewhere classified
R06.82 Tachypnea, not elsewhere classified
R06.83 Snoring
R06.89 Other abnormalities of breathing
R06.9 Unspecified abnormalities of breathing
R07 Pain in throat and chest

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