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 v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

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.

Every code in J96-J99

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
J9600Acute respiratory failure, unsp w hypoxia or hypercapniaLAccepted
J9601Acute respiratory failure with hypoxiaLAccepted
J9602Acute respiratory failure with hypercapniaLAccepted
J9610Chronic respiratory failure, unsp w hypoxia or hypercapniaLAccepted
J9611Chronic respiratory failure with hypoxiaLAccepted
J9612Chronic respiratory failure with hypercapniaLAccepted
J9620Acute and chr resp failure, unsp w hypoxia or hypercapniaLAccepted
J9621Acute and chronic respiratory failure with hypoxiaLAccepted
J9622Acute and chronic respiratory failure with hypercapniaLAccepted
J9690Respiratory failure, unsp, unsp w hypoxia or hypercapniaLAccepted
J9691Respiratory failure, unspecified with hypoxiaLAccepted
J9692Respiratory failure, unspecified with hypercapniaLAccepted
J9801Acute bronchospasmLAccepted
J9809Other diseases of bronchus, not elsewhere classifiedLAccepted
J9811AtelectasisLAccepted
J9819Other pulmonary collapseLAccepted
J982Interstitial emphysemaLAccepted
J983Compensatory emphysemaLAccepted
J984Other disorders of lungLAccepted
J9851MediastinitisLAccepted
J9859Other diseases of mediastinum, not elsewhere classifiedLAccepted
J986Disorders of diaphragmLAccepted
J988Other specified respiratory disordersLAccepted
J989Respiratory disorder, unspecifiedNoneCannot group
J99Respiratory disorders in diseases classified elsewhereNoneCannot group

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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