J96 vs P28.5
J96 (Respiratory failure, not elsewhere classified) compared with P28.5 (Respiratory failure of newborn), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. J96 carries an Excludes1 note covering P28.5: “respiratory failure of newborn (P28.5)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| J96Respiratory failure, not elsewhere classified | P28.5Respiratory failure of newborn | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Respiratory failure, not elsewhere classified is a non-billable ICD-10-CM category code (J96). | Respiratory failure of newborn is a billable ICD-10-CM diagnosis code (P28.5). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources