J96 — Respiratory failure, not elsewhere classified
Is J96 billable?
No — J96 is a non-billable header code. J96 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 12 billable codes beneath J96.
Billable codes under this header
- J96.00Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
- J96.01Acute respiratory failure with hypoxia
- J96.02Acute respiratory failure with hypercapnia
- J96.10Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
- J96.11Chronic respiratory failure with hypoxia
- J96.12Chronic respiratory failure with hypercapnia
- J96.20Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
- J96.21Acute and chronic respiratory failure with hypoxia
- J96.22Acute and chronic respiratory failure with hypercapnia
- J96.90Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
- J96.91Respiratory failure, unspecified with hypoxia
- J96.92Respiratory failure, unspecified with hypercapnia
J96 at a glance
| Code | J96 |
|---|---|
| Description | Respiratory failure, not elsewhere classified |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with J96 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 10
Report an additional code alongside J96 to fully describe the condition. J96 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J96, but a patient may have both at the same time. When documentation supports it, J96 and the excluded code may both be reported.
- 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)
What codes fall under J96? (4)
How long has J96 existed?
J96 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with J96?
ICD-10-CM declares these codes mutually exclusive with J96 — exactly one of each pair can be correct for a given encounter.