J96.91

Respiratory failure, unspecified with hypoxia

Billable / specificHCC V28 213

J96.91 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from J96)

  • 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).

Excludes1

Not coded here — never report together with this code.

  • acute respiratory distress syndrome (J80) (from J96)
  • cardiorespiratory failure (R09.2) (from J96)
  • newborn respiratory distress syndrome (P22.0) (from J96)
  • postprocedural respiratory failure (J95.82-) (from J96)
  • respiratory arrest (R09.2) (from J96)
  • respiratory arrest of newborn (P28.81) (from J96)
  • respiratory failure of newborn (P28.5) (from J96)

Excludes2

Not included here — may be reported together when both conditions exist.

  • certain conditions originating in the perinatal period (P04-P96) (from J96)
  • certain infectious and parasitic diseases (A00-B99) (from J96)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from J96)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) (from J96)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from J96)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from J96)
  • neoplasms (C00-D49) (from J96)
  • smoke inhalation (T59.81-) (from J96)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from J96)

Use additional code

Add a code to identify the following, if applicable.

  • code, where applicable, to identify: (from J96)
  • exposure to environmental tobacco smoke (Z77.22) (from J96)
  • exposure to tobacco smoke in the perinatal period (P96.81) (from J96)
  • history of tobacco dependence (Z87.891) (from J96)
  • occupational exposure to environmental tobacco smoke (Z57.31) (from J96)
  • tobacco dependence (F17.-) (from J96)
  • tobacco use (Z72.0) (from J96)

Also known as

  • Failure, failed, respiration, respiratory, with hypoxia

Parent code

  • J96.9Respiratory failure, unspecifiedHeader

Related codes

  • J96.90Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapniaBillable
  • J96.92Respiratory failure, unspecified with hypercapniaBillable

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