J96.1

Chronic respiratory failure

FY2027Chapter 10: Diseases of the respiratory system/J96–J99 Other diseases of the respiratory system

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

J96.1 is a non-billable ICD-10-CM code header for chronic respiratory failure. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are J96.10 Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia; J96.11 Chronic respiratory failure with hypoxia and J96.12 Chronic respiratory failure with hypercapnia. Its coding notes include a Use additional code instruction, 7 Excludes1 entries and 9 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (7 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from J96 Respiratory failure, not elsewhere classified
  • acute respiratory distress syndrome (J80)
  • cardiorespiratory failure (R09.2)
  • newborn respiratory distress syndrome (P22.0)
  • postprocedural respiratory failure (J95.82-)
  • respiratory arrest (R09.2)
  • respiratory arrest of newborn (P28.81)
  • respiratory failure of newborn (P28.5)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (9 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 10 Diseases of the respiratory system
  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

More specific codes under J96.1 3