J80 vs J96
J80 and J96 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on J96
acute respiratory distress syndrome (J80)
J80
Acute respiratory distress syndrome
Billable
- Chapter 10
- Diseases of the respiratory system
- Section
- J80-J84
Use when the record says
- Acute respiratory distress syndrome in adult or child
- Adult hyaline membrane disease
Indexed under
- Shock › lung
- Syndrome › acute respiratory distress
- Syndrome › shock-lung
- Distress › acute respiratory › syndrome
- Disease, diseased › hyaline › membrane › adult
J96
Respiratory failure, not elsewhere classified
Not billable
- Chapter 10
- Diseases of the respiratory system
- Section
- J96-J99
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027