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2025 ICD-10-CM code J96.00

Acute respiratory failure, unspecified whether with hypoxia or hypercapnia.

Follow all official ICD-10-CM coding guidelines.Ensure proper code selection and sequencing.Additional codes should be added to specify the underlying cause or associated conditions.

Modifiers may be applicable depending on the specific circumstances of the case. Consult current modifier guidelines.

Medical necessity for coding J96.00 is established by documentation of clinical findings consistent with acute respiratory failure, including objective evidence of impaired gas exchange and the need for intervention.

The clinical responsibility involves diagnosing and managing acute respiratory failure, which may include administering oxygen therapy, mechanical ventilation, or medications to address underlying causes.Continuous monitoring of vital signs and respiratory function is crucial.

IMPORTANT:Consider additional codes to specify the underlying cause (e.g., pneumonia, pulmonary edema), the presence of hypoxia (J96.01) or hypercapnia, and any related conditions (e.g., tobacco use, environmental exposure).

In simple words: This code indicates a sudden and serious problem with breathing, where the body isn't getting enough oxygen or removing enough carbon dioxide. This can be caused by several lung conditions and needs immediate medical attention.

J96.00 signifies acute respiratory failure where the presence or absence of hypoxia (low blood oxygen) and hypercapnia (high blood carbon dioxide) is not specified.This code encompasses various conditions leading to insufficient gas exchange, such as pneumonia, pulmonary edema, or chronic obstructive pulmonary disease (COPD) exacerbations.The diagnosis requires clinical assessment, including arterial blood gas analysis to confirm impaired respiratory function.

Example 1: A 70-year-old male with a history of COPD presents to the emergency department with worsening shortness of breath, tachypnea, and decreased oxygen saturation.Arterial blood gases reveal hypoxemia and hypercapnia.J96.00 is assigned., A 55-year-old female with pneumonia develops acute respiratory distress. Despite oxygen therapy, her respiratory status deteriorates requiring intubation and mechanical ventilation.J96.00 is appropriate., A 25-year-old male is involved in a motor vehicle accident and sustains multiple rib fractures resulting in pneumothorax and acute respiratory failure.J96.00 is used along with codes for the rib fractures and pneumothorax.

* Complete history and physical examination.* Respiratory assessment including respiratory rate, oxygen saturation, and work of breathing.* Arterial blood gas results.* Chest x-ray or other imaging studies as clinically indicated.* Documentation of treatment provided (e.g., oxygen therapy, mechanical ventilation, medications).

** This code should only be used when the clinical picture meets the criteria for acute respiratory failure. The specificity of hypoxia and hypercapnia should be addressed when possible.

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