DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

J96 Respiratory failure, not elsewhere classified

  • Header · not billable

J96 is not billable. The category heads 12 billable codes in FY2027, grouped under 4 subdivisions.

Index → code

  • Failure, failedrespiration, respiratory → J96.90
  • Acidosis (lactic)respiratoryacute → J96.02
  • Acidosis (lactic)respiratorychronic → J96.12

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J96-J99 Other diseases of the respiratory system (J96-J99)
  3. J96 Respiratory failure, not elsewhere classified
Billable codes
12
Subdivisions
4
CC / MCC codes
3 / 9
HCC V28 codes
12
New FY2027
0
Index entries
18

Codes in J96

  1. J96.0
    Acute respiratory failure
    Header
  2. J96.00
    Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
    BillableMCC213
  3. J96.01
    Acute respiratory failure with hypoxia
    BillableMCC213
  4. J96.02
    Acute respiratory failure with hypercapnia
    BillableMCC213
    Inclusion terms 1

    Inclusion terms

    • Acute respiratory acidosis
  5. J96.1
    Chronic respiratory failure
    Header
  6. J96.10
    Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
    BillableCC213
  7. J96.11
    Chronic respiratory failure with hypoxia
    BillableCC213
  8. J96.12
    Chronic respiratory failure with hypercapnia
    BillableCC213
    Inclusion terms 1

    Inclusion terms

    • Chronic respiratory acidosis
  9. J96.2
    Acute and chronic respiratory failure
    Header
    Inclusion terms 1

    Inclusion terms

    • Acute on chronic respiratory failure
  10. J96.20
    Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
    BillableMCC213
  11. J96.21
    Acute and chronic respiratory failure with hypoxia
    BillableMCC213
  12. J96.22
    Acute and chronic respiratory failure with hypercapnia
    BillableMCC213
  13. J96.9
    Respiratory failure, unspecified
    Header
  14. J96.90
    Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
    BillableMCC213
  15. J96.91
    Respiratory failure, unspecified with hypoxia
    BillableMCC213
  16. J96.92
    Respiratory failure, unspecified with hypercapnia
    BillableMCC213

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At J96

Excludes1

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

Notes that also apply

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Failure, failedrespiration, respiratory → J96.90
  • Failure, failedrespiration, respiratoryacute → J96.00
  • Acidosis (lactic)respiratoryacute → J96.02
  • Failure, failedrespiration, respiratorychronic → J96.10
  • Acidosis (lactic)respiratorychronic → J96.12
  • Failure, failedrespiration, respiratoryacute and (on) chronic → J96.20
  • Failure, failedrespiration, respiratorywithhypoxia → J96.91
  • Failure, failedrespiration, respiratorywithhypercapnia → J96.92
  • Failure, failedrespiration, respiratorywithhypercarbia → J96.92
  • Failure, failedrespiration, respiratoryacutewithhypoxia → J96.01
  • Failure, failedrespiration, respiratoryacutewithhypercapnia → J96.02
  • Failure, failedrespiration, respiratoryacutewithhypercarbia → J96.02
  • Failure, failedrespiration, respiratorychronicwithhypoxia → J96.11
  • Failure, failedrespiration, respiratorychronicwithhypercapnia → J96.12
  • Failure, failedrespiration, respiratorychronicwithhypercarbia → J96.12
  • Failure, failedrespiration, respiratoryacute and (on) chronicwithhypoxia → J96.21
  • Failure, failedrespiration, respiratoryacute and (on) chronicwithhypercapnia → J96.22
  • Failure, failedrespiration, respiratoryacute and (on) chronicwithhypercarbia → J96.22

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy