J96.01ICD-10-CM

Acute respiratory failure with hypoxia

Billable

Chapter

J00-J99

Respiratory system

Billable

Yes

Valid as submitted on a claim line

Common pairings

2 CPT codes

94002, 99223

What the documentation has to carry

Requires documented clinical criteria, not only a low pulse oximetry reading. This is a frequent payer downgrade target.

Commonly paired CPT codes

9400299223

Pairings are typical, not a coverage determination. Check the payer policy for the line.

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before the payer does

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This page is a free reference for billing and coding teams and is not coding, legal, or clinical advice. Code selection depends on the documentation in the record and on the policy of the payer being billed. Verify every code, instructional note, and sequencing rule against the current ICD-10-CM files and the Official Guidelines for Coding and Reporting for the applicable date of service. ICD-10-CM is maintained by the CDC's National Center for Health Statistics and published by CMS. CPT is a registered trademark of the American Medical Association. TruCare is not affiliated with CMS, NCHS, the AHA, or the AMA.

Acute respiratory failure with hypoxia

What the documentation has to carry

Find the specificitybefore the payer does

Find the specificity
before the payer does