J96.22 — Acute and chronic respiratory failure with hypercapnia

BillableMCC

Is J96.22 billable?

Yes — J96.22 is billable for FY2027. J96.22 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J96.22 may be submitted for encounters from October 1, 2026 through September 30, 2027.

J96.22 at a glance

Code	J96.22
Description	Acute and chronic respiratory failure with hypercapnia
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does J96.22 group to?

J96.22 sits in MDC 04 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

189Pulmonary Edema and Respiratory Failuremedical

As a secondary diagnosis, J96.22 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is J96.22 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to J96.22. They show the wording a clinician may have documented, which often differs from the Tabular description.

Failure, failed › respiration, respiratory › acute andchronic › with › hypercapnia
Failure, failed › respiration, respiratory › acute andchronic › with › hypercarbia

Excludes1 — never code together — inherited from J96

The conditions below can never be reported together with J96.22 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

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

Use additional code — inherited from Chapter 10

Report an additional code alongside J96.22 to fully describe the condition. J96.22 is sequenced first.

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

Excludes2 — not included here — inherited from Chapter 10

The conditions below are not part of J96.22, but a patient may have both at the same time. When documentation supports it, J96.22 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)

How long has J96.22 existed?

J96.22 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.