ICD-10 · PDGM grouping
J96-J99 — Other diseases of the respiratory system
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
25
No clinical group
2
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
23 of the 25 codes in J96-J99 group to MMTA - Respiratory. A further 2 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in J96-J99
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in J96-J99
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| J9600 | Acute respiratory failure, unsp w hypoxia or hypercapnia | L | Can lead a claim |
| J9601 | Acute respiratory failure with hypoxia | L | Can lead a claim |
| J9602 | Acute respiratory failure with hypercapnia | L | Can lead a claim |
| J9610 | Chronic respiratory failure, unsp w hypoxia or hypercapnia | L | Can lead a claim |
| J9611 | Chronic respiratory failure with hypoxia | L | Can lead a claim |
| J9612 | Chronic respiratory failure with hypercapnia | L | Can lead a claim |
| J9620 | Acute and chr resp failure, unsp w hypoxia or hypercapnia | L | Can lead a claim |
| J9621 | Acute and chronic respiratory failure with hypoxia | L | Can lead a claim |
| J9622 | Acute and chronic respiratory failure with hypercapnia | L | Can lead a claim |
| J9690 | Respiratory failure, unsp, unsp w hypoxia or hypercapnia | L | Can lead a claim |
| J9691 | Respiratory failure, unspecified with hypoxia | L | Can lead a claim |
| J9692 | Respiratory failure, unspecified with hypercapnia | L | Can lead a claim |
| J9801 | Acute bronchospasm | L | Can lead a claim |
| J9809 | Other diseases of bronchus, not elsewhere classified | L | Can lead a claim |
| J9811 | Atelectasis | L | Can lead a claim |
| J9819 | Other pulmonary collapse | L | Can lead a claim |
| J982 | Interstitial emphysema | L | Can lead a claim |
| J983 | Compensatory emphysema | L | Can lead a claim |
| J984 | Other disorders of lung | L | Can lead a claim |
| J9851 | Mediastinitis | L | Can lead a claim, code first applies |
| J9859 | Other diseases of mediastinum, not elsewhere classified | L | Can lead a claim |
| J986 | Disorders of diaphragm | L | Can lead a claim |
| J988 | Other specified respiratory disorders | L | Can lead a claim |
| J989 | Respiratory disorder, unspecified | None | Cannot lead a claim |
| J99 | Respiratory disorders in diseases classified elsewhere | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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