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Compare/J96 vs R06

J96 vs R06

J96 (Respiratory failure, not elsewhere classified) compared with R06 (Abnormalities of breathing), 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. R06 carries an Excludes1 note covering J96: “respiratory failure (J96.-)”

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 classifiedR06Abnormalities of breathing
Billing statusNon-billable header

Report instead: J96.00, J96.01, J96.02, J96.10, J96.11

Non-billable header

Report instead: R06.00, R06.01, R06.02, R06.03, R06.09

ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionRespiratory failure, not elsewhere classified is a non-billable ICD-10-CM category code (J96).Abnormalities of breathing is a non-billable ICD-10-CM category code (R06).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources