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2025 Respiratory Failure ICD 10 Code J96.90

Effective Date: 10/01/2015 To 09/30/2025

Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia

CMS-HCC-V24 CMS-HCC-V28 RxHCC Age Gender Maternity Acute or Chronic MCC
84 213 -- -- -- -- Acute Yes
Back-references to J96.90
  • Failure, failed
    • respiration, respiratory J96.90
    • Chapter, Section and Diagnosis Prefix for J96.90
        J00-J99 :

        Diseases of the respiratory system

        J96-J99 :

        Other diseases of the respiratory system

        J96 :

        Respiratory failure, not elsewhere classified

      What is Respiratory Failure ICD 10?

      Respiratory Failure ICD 10 Code is J96.90, and it is a clinical condition that occurs when the respiratory system mainly fails to maintain its main function of gas exchange, characterized by PaO2 lower than the 60 mmHg or PaCO2 higher than 50 mmHg. Respiratory failure is a typical condition in which your blood doesn't have the enough oxygen or has too much of the carbon dioxide. Sometimes you can have both problems.

      • Type 1 (Hypoxemic):

        PaO2 < 60 mmHg with normal or subnormal PaCO2. Gas exchange is impaired at the alveolo-capillary membrane level.
      • Type 2 (Hypercapnic):

        PaCO2 > 50 mmHg, often accompanied by hypoxemia due to respiratory pump failure.

      Why is Respiratory Failure ICD 10 Happening?

      • Lung Diseases:

        COPD, cystic fibrosis, pneumonia, pulmonary embolism, COVID-19.
      • Spine Problems:

        Issues with the spine, which is affecting bones and muscles used for breathing.
      • Tissue Damage:

        Injuries to chest tissues and ribs.
      • Overdose:

        Drug or alcohol overdose.
      • Inhalation Injuries:

        Smoke or harmful fumes.

      Treatment Options

      • Oxygen Therapy:

        Through a nasal cannula or mask.
      • Tracheostomy:

        Surgically-made hole in the neck to help with breathing.
      • Ventilator:

        Breathing machine to assist with airflow and carbon dioxide removal.
      • Noninvasive Positive Pressure Ventilation (NPPV):

        Mild air pressure to keep airways open.
      • Fluids and Medications:

        IV fluids for improved blood flow and nutrition; medications for discomfort and to treat underlying causes.

      Diagnostics for Respiratory Failure ICD 10

      • Pulse Oximetry
      • Arterial Blood Gas Test

      Symptoms Respiratory Failure ICD 10 Code

      There can be various Symptoms,

      depending on the severity of the disease, some of which are,

      • Low Oxygen Levels:

        • Shortness of breath
        • Bluish coloration on lips, fingertips, or toes
        • Drowsiness
        • Difficulty performing routine activities
      • High Carbon Dioxide Levels:

        • Rapid breathing
        • Confusion
        • Blurred vision
        • Headaches

      Types of Respiratory Failure

      • Type 1 (hypoxemic)
      • Type 2 (hypercapnic)