ICD Code J96-
ICD code J96- is used to classify respiratory failure, helping healthcare providers document and track this specific medical condition.
Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.
What is ICD diagnosis code J96-
ICD code J96- is respiratory failure, which refers to a condition where the respiratory system fails in oxygenating blood or removing carbon dioxide from the body.
When to use ICD code J96-
1. Evidence of inadequate oxygenation (hypoxemia) and/or elevated carbon dioxide levels (hypercapnia) as determined by arterial blood gas analysis
2. Clinical signs of respiratory distress, such as increased respiratory rate, use of accessory muscles, or cyanosis
3. Symptoms including shortness of breath, confusion, headache, or lethargy
4. Underlying cause identified, such as chronic lung disease, acute respiratory event, or neuromuscular impairment
5. Duration and severity of respiratory failure documented (acute, chronic, or acute on chronic)
6. Exclusion of other primary cardiac or metabolic causes for the respiratory symptoms
Billable CPT codes for ICD code J96-
Relevant CPT codes that may be used to treat ICD code J96- include:
94002, 94003, 94004, 94010, 94060, 94070, 94640, 94660, 94662, 94760, 94761, 94762, 31500, 31502, 31503, 31505, 31510, 31511, 31512, 31513, 31515, 31520, 94012, 94013, 94664, 94680, 94681, 94682, 94683, 94684, 94685, 94686, 94687, 94688, 94690, 94691, 94692, 94693, 94694, 94695, 94696, 94697, 94698, 94699, 94799, 99291, 99292.
Are you being underpaid for encounters with J96-
See how MD Clarity’s RevFind software can automatically read your contracts and identify underpayments for CPT codes associated with ICD code J96-. Schedule a demo today to ensure your organization is capturing every dollar it’s owed.
Get paid in full by bringing clarity to your revenue cycle
Related ICD Codes
Subscribe to the

Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
