ICD Code J96.02

ICD code J96.02 is acute respiratory failure with hypercapnia, meaning the patient is experiencing a sudden inability to breathe adequately, resulting in high levels of carbon dioxide in the blood.

1. Sudden onset of respiratory failure characterized by inadequate gas exchange

2. Evidence of hypercapnia (elevated arterial carbon dioxide levels, PaCO₂ > 45 mmHg)

3. Clinical signs of acute respiratory distress, such as tachypnea, use of accessory muscles, or altered mental status

4. Arterial blood gas analysis showing decreased pH (acidemia) and elevated PaCO₂

5. Symptoms may include dyspnea, confusion, headache, or somnolence

6. Absence of chronic respiratory failure prior to the acute episode

7. Underlying cause identified as acute in nature (e.g., pneumonia, acute exacerbation of COPD, drug overdose, or trauma)

Relevant CPT codes that may be used to treat ICD code J96.02 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 – Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s)

94656 – Mechanical ventilation, initiation and management, first day

94657 – Mechanical ventilation, initiation and management, each subsequent day

94660 – Continuous positive airway pressure ventilation (CPAP), initiation and management

94662 – Continuous negative pressure ventilation, initiation and management

94760 – Noninvasive ear or pulse oximetry for oxygen saturation; single determination

94761 – Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations

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 management and treatment of J96.02.

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