ICD Code J80-

ICD code J80 is acute respiratory distress syndrome, a severe lung condition causing widespread inflammation and difficulty in oxygen exchange.

1. Acute onset of respiratory failure

2. Bilateral opacities on chest imaging not fully explained by effusions, lobar/lung collapse, or nodules

3. Hypoxemia with a PaO2/FiO2 ratio ≤ 300 mmHg with a minimum of 5 cm H2O positive end-expiratory pressure (PEEP)

4. Respiratory symptoms beginning within one week of a known clinical insult or new/worsening symptoms

5. Respiratory failure not fully explained by cardiac failure or fluid overload

6. Presence of risk factors such as sepsis, pneumonia, aspiration, trauma, or multiple transfusions

Relevant CPT codes that may be used to treat ICD code J80- include:

- 94002 (Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day)

- 94003 (Ventilation assist and management, hospital inpatient/observation, each subsequent day)

- 94004 (Ventilation assist and management, nursing facility, per day)

- 31500 (Intubation, endotracheal, emergency procedure)

- 94010 (Breathing capacity test)

- 94656 (Comprehensive inhalation treatment)

- 94660 (Continuous positive airway pressure ventilation, CPAP)

- 99291 (Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes)

- 99292 (Critical care, each additional 30 minutes)

These CPT codes are commonly associated with the treatment of ICD code J80-.

See how MD Clarity’s RevFind software can automatically read your payer contracts and identify underpayments for CPT codes associated with ICD code J80. Schedule a demo today to ensure your organization is capturing every dollar it’s owed.