ICD Code J96.10

ICD code J96.10 is chronic respiratory failure where it is not specified whether the patient has low oxygen (hypoxia) or high carbon dioxide (hypercapnia) levels.

1. Presence of chronic respiratory failure, as evidenced by impaired gas exchange persisting for weeks to months

2. Symptoms such as dyspnea, fatigue, confusion, or cyanosis attributable to chronic respiratory insufficiency

3. Objective findings of abnormal arterial blood gases (ABG) indicating hypoxemia and/or hypercapnia, but without specification of which is present

4. Underlying chronic pulmonary or neuromuscular disease contributing to respiratory failure

5. Requirement for long-term oxygen therapy or ventilatory support

6. Exclusion of acute respiratory failure or acute exacerbation as the primary diagnosis

Relevant CPT codes that may be used to treat ICD code J96.10 include:

94010 – Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s)

94640 – Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes

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

94662 – Continuous negative pressure ventilation (CNP), 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

94060 – Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration

94070 – Bronchospasm evaluation: spirometry as in 94010, before and after cold air challenge

31500 – Intubation, endotracheal, emergency procedure

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

94656 – Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital outpatient/office, initial day

94657 – Ventilation assist and management, hospital outpatient/office, each subsequent day

94664 – Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device

Schedule a demo to see how MD Clarity’s RevFind software can automatically read your contracts and detect underpayments for CPT codes related to ICD code J96.10. Ensure your organization is capturing every dollar it’s owed—discover the power of automated contract analysis with RevFind today.