Local Coverage Article Billing and Coding

Billing and Coding: Respiratory Therapy (Respiratory Care)

A56717

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General Information

Article ID
A56717
Article Title
Billing and Coding: Respiratory Therapy (Respiratory Care)
Article Type
Billing and Coding
Original Effective Date
07/25/2019
Revision Effective Date
10/01/2021
Revision Ending Date
N/A
Retirement Date
N/A
AMA CPT / ADA CDT / AHA NUBC Copyright Statement

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Current Dental Terminology © 2021 American Dental Association. All rights reserved.

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CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim

CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 12, §30.1 Rules for Payment of CORF Services and §40.5 Respiratory Therapy Services

Federal Register: December 31, 2002 (Volume 67, Number 251) p 79999-80000 Final rule revisions to payment policies specific to G0237-G0239

Article Guidance

Article Text

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Respiratory Therapy (Respiratory Care) L34430.

Therapeutic procedures whose principle aim is to treat a respiratory impairment should be identified using the G0237-G0239 series of HCPCS codes. CPT® codes 97000 to 97799 are not to be billed by professionals involved in treating respiratory conditions, unless these services are delivered by physical or occupational therapists and meet the other requirements for physical and occupational therapy services.

Coding Information

CPT/HCPCS Codes

Group 1

(34 Codes)
Group 1 Paragraph

N/A

Group 1 Codes
CodeDescription
31500 Insert emergency airway
31502 Change of windpipe airway
31720 Clearance of airways
92950 Heart/lung resuscitation cpr
94002 Vent mgmt inpat init day
94003 Vent mgmt inpat subq day
94004 Vent mgmt nf per day
94010 Breathing capacity test
94011 Spirometry up to 2 yrs old
94012 Spirmtry w/brnchdil inf-2 yr
94013 Meas lung vol thru 2 yrs
94060 Evaluation of wheezing
94070 Evaluation of wheezing
94150 Vital capacity test
94200 Lung function test (mbc/mvv)
94375 Respiratory flow volume loop
94450 Hypoxia response curve
94621 Cardiopulm exercise testing
94640 Airway inhalation treatment
94642 Aerosol inhalation treatment
94660 Pos airway pressure cpap
94662 Neg press ventilation cnp
94664 Evaluate pt use of inhaler
94667 Chest wall manipulation
94668 Chest wall manipulation
94669 Mechanical chest wall oscill
94726 Pulm funct tst plethysmograp
94727 Pulm function test by gas
94728 Airwy resist by oscillometry
94729 Co/membane diffuse capacity
94772 Breath recording infant
G0237 Therapeutic procd strg endur
G0238 Oth resp proc, indiv
G0239 Oth resp proc, group

CPT/HCPCS Modifiers

N/A

ICD-10-CM Codes that Support Medical Necessity

Group 1

(790 Codes)
Group 1 Paragraph

N/A

Group 1 Codes
CodeDescription
A15.0 Tuberculosis of lung
A15.5 Tuberculosis of larynx, trachea and bronchus
A15.6 Tuberculous pleurisy
A15.7 Primary respiratory tuberculosis
A15.8 Other respiratory tuberculosis
A20.2 Pneumonic plague
A20.7 Septicemic plague
A22.1 Pulmonary anthrax
A31.0 Pulmonary mycobacterial infection
A36.2 Laryngeal diphtheria
A37.00 Whooping cough due to Bordetella pertussis without pneumonia
A37.01 Whooping cough due to Bordetella pertussis with pneumonia
A37.10 Whooping cough due to Bordetella parapertussis without pneumonia
A37.11 Whooping cough due to Bordetella parapertussis with pneumonia
A37.80 Whooping cough due to other Bordetella species without pneumonia
A37.81 Whooping cough due to other Bordetella species with pneumonia
A37.90 Whooping cough, unspecified species without pneumonia
A37.91 Whooping cough, unspecified species with pneumonia
A42.0 Pulmonary actinomycosis
A43.0 Pulmonary nocardiosis
A52.72 Syphilis of lung and bronchus
A75.3 Typhus fever due to Rickettsia tsutsugamushi
A78 Q fever
B01.2 Varicella pneumonia
B05.2 Measles complicated by pneumonia
B25.0 Cytomegaloviral pneumonitis
B37.1 Pulmonary candidiasis
B38.0 Acute pulmonary coccidioidomycosis
B38.1 Chronic pulmonary coccidioidomycosis
B38.2 Pulmonary coccidioidomycosis, unspecified
B39.0 Acute pulmonary histoplasmosis capsulati
B39.1 Chronic pulmonary histoplasmosis capsulati
B39.2 Pulmonary histoplasmosis capsulati, unspecified
B44.0 Invasive pulmonary aspergillosis
B44.1 Other pulmonary aspergillosis
B44.2 Tonsillar aspergillosis
B44.7 Disseminated aspergillosis
B44.81 Allergic bronchopulmonary aspergillosis
B44.89 Other forms of aspergillosis
B44.9 Aspergillosis, unspecified
B45.0 Pulmonary cryptococcosis
B45.7 Disseminated cryptococcosis
B45.8 Other forms of cryptococcosis
B48.4 Penicillosis
B58.3 Pulmonary toxoplasmosis
B59 Pneumocystosis
B77.81 Ascariasis pneumonia
C33 Malignant neoplasm of trachea
C34.01 Malignant neoplasm of right main bronchus
C34.02 Malignant neoplasm of left main bronchus
C34.11 Malignant neoplasm of upper lobe, right bronchus or lung
C34.12 Malignant neoplasm of upper lobe, left bronchus or lung
C34.2 Malignant neoplasm of middle lobe, bronchus or lung
C34.31 Malignant neoplasm of lower lobe, right bronchus or lung
C34.32 Malignant neoplasm of lower lobe, left bronchus or lung
C34.81 Malignant neoplasm of overlapping sites of right bronchus and lung
C34.82 Malignant neoplasm of overlapping sites of left bronchus and lung
C38.4 Malignant neoplasm of pleura
C39.9 Malignant neoplasm of lower respiratory tract, part unspecified
C45.0 Mesothelioma of pleura
C45.7 Mesothelioma of other sites
C46.51 Kaposi's sarcoma of right lung
C46.52 Kaposi's sarcoma of left lung
C76.8 Malignant neoplasm of other specified ill-defined sites
C78.01 Secondary malignant neoplasm of right lung
C78.02 Secondary malignant neoplasm of left lung
C78.1 Secondary malignant neoplasm of mediastinum
C78.2 Secondary malignant neoplasm of pleura
C78.39 Secondary malignant neoplasm of other respiratory organs
D02.0 Carcinoma in situ of larynx
D02.1 Carcinoma in situ of trachea
D02.21 Carcinoma in situ of right bronchus and lung
D02.22 Carcinoma in situ of left bronchus and lung
D02.3 Carcinoma in situ of other parts of respiratory system
D14.1 Benign neoplasm of larynx
D14.2 Benign neoplasm of trachea
D14.31 Benign neoplasm of right bronchus and lung
D14.32 Benign neoplasm of left bronchus and lung
D15.2 Benign neoplasm of mediastinum
D19.0 Benign neoplasm of mesothelial tissue of pleura
D38.1 Neoplasm of uncertain behavior of trachea, bronchus and lung
D38.2 Neoplasm of uncertain behavior of pleura
D38.3 Neoplasm of uncertain behavior of mediastinum
D38.4 Neoplasm of uncertain behavior of thymus
D57.01 Hb-SS disease with acute chest syndrome
D57.211 Sickle-cell/Hb-C disease with acute chest syndrome
D57.411 Sickle-cell thalassemia, unspecified, with acute chest syndrome
D57.431 Sickle-cell thalassemia beta zero with acute chest syndrome
D57.451 Sickle-cell thalassemia beta plus with acute chest syndrome
D57.811 Other sickle-cell disorders with acute chest syndrome
D86.0 Sarcoidosis of lung
D86.2 Sarcoidosis of lung with sarcoidosis of lymph nodes
E66.2 Morbid (severe) obesity with alveolar hypoventilation
E84.0 Cystic fibrosis with pulmonary manifestations
E84.9 Cystic fibrosis, unspecified
E85.0 Non-neuropathic heredofamilial amyloidosis
E85.1 Neuropathic heredofamilial amyloidosis
E85.2 Heredofamilial amyloidosis, unspecified
E85.3 Secondary systemic amyloidosis
E85.4 Organ-limited amyloidosis
E85.81 Light chain (AL) amyloidosis
E85.82 Wild-type transthyretin-related (ATTR) amyloidosis
E85.89 Other amyloidosis
E85.9 Amyloidosis, unspecified
E88.01 Alpha-1-antitrypsin deficiency
E88.02 Plasminogen deficiency
E88.3 Tumor lysis syndrome
G12.21 Amyotrophic lateral sclerosis
G12.23 Primary lateral sclerosis
G12.24 Familial motor neuron disease
G12.25 Progressive spinal muscle atrophy
G47.30 Sleep apnea, unspecified
G47.31 Primary central sleep apnea
G47.33 Obstructive sleep apnea (adult) (pediatric)
G47.34 Idiopathic sleep related nonobstructive alveolar hypoventilation
G47.35 Congenital central alveolar hypoventilation syndrome
G47.36 Sleep related hypoventilation in conditions classified elsewhere
G47.37 Central sleep apnea in conditions classified elsewhere
G47.39 Other sleep apnea
G70.80 Lambert-Eaton syndrome, unspecified
G70.81 Lambert-Eaton syndrome in disease classified elsewhere
G71.00 Muscular dystrophy, unspecified
G71.01 Duchenne or Becker muscular dystrophy
G71.02 Facioscapulohumeral muscular dystrophy
G71.09 Other specified muscular dystrophies
G72.41 Inclusion body myositis [IBM]
G72.49 Other inflammatory and immune myopathies, not elsewhere classified
G73.1 Lambert-Eaton syndrome in neoplastic disease
I26.01 Septic pulmonary embolism with acute cor pulmonale
I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale
I26.09 Other pulmonary embolism with acute cor pulmonale
I26.90 Septic pulmonary embolism without acute cor pulmonale
I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale
I26.93 Single subsegmental pulmonary embolism without acute cor pulmonale
I26.94 Multiple subsegmental pulmonary emboli without acute cor pulmonale
I26.99 Other pulmonary embolism without acute cor pulmonale
I27.0 Primary pulmonary hypertension
I27.1 Kyphoscoliotic heart disease
I27.20 Pulmonary hypertension, unspecified
I27.21 Secondary pulmonary arterial hypertension
I27.22 Pulmonary hypertension due to left heart disease
I27.23 Pulmonary hypertension due to lung diseases and hypoxia
I27.24 Chronic thromboembolic pulmonary hypertension
I27.29 Other secondary pulmonary hypertension
I27.82 Chronic pulmonary embolism
I27.83 Eisenmenger's syndrome
I27.89 Other specified pulmonary heart diseases
I28.0 Arteriovenous fistula of pulmonary vessels
I28.8 Other diseases of pulmonary vessels
I37.0 Nonrheumatic pulmonary valve stenosis
I37.1 Nonrheumatic pulmonary valve insufficiency
I37.2 Nonrheumatic pulmonary valve stenosis with insufficiency
I37.8 Other nonrheumatic pulmonary valve disorders
I37.9 Nonrheumatic pulmonary valve disorder, unspecified
I46.2 Cardiac arrest due to underlying cardiac condition
I46.8 Cardiac arrest due to other underlying condition
I46.9 Cardiac arrest, cause unspecified
I50.1 Left ventricular failure, unspecified
I50.20 Unspecified systolic (congestive) heart failure
I50.21 Acute systolic (congestive) heart failure
I50.22 Chronic systolic (congestive) heart failure
I50.23 Acute on chronic systolic (congestive) heart failure
I50.30 Unspecified diastolic (congestive) heart failure
I50.31 Acute diastolic (congestive) heart failure
I50.32 Chronic diastolic (congestive) heart failure
I50.33 Acute on chronic diastolic (congestive) heart failure
I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.810 Right heart failure, unspecified
I50.811 Acute right heart failure
I50.812 Chronic right heart failure
I50.813 Acute on chronic right heart failure
I50.814 Right heart failure due to left heart failure
I50.82 Biventricular heart failure
I50.83 High output heart failure
I50.84 End stage heart failure
I50.89 Other heart failure
I50.9 Heart failure, unspecified
J04.10 Acute tracheitis without obstruction
J04.11 Acute tracheitis with obstruction
J04.2 Acute laryngotracheitis
J05.0 Acute obstructive laryngitis [croup]
J05.10 Acute epiglottitis without obstruction
J05.11 Acute epiglottitis with obstruction
J06.0 Acute laryngopharyngitis
J09.X1 Influenza due to identified novel influenza A virus with pneumonia
J09.X2 Influenza due to identified novel influenza A virus with other respiratory manifestations
J10.00 Influenza due to other identified influenza virus with unspecified type of pneumonia
J10.01 Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia
J10.08 Influenza due to other identified influenza virus with other specified pneumonia
J10.1 Influenza due to other identified influenza virus with other respiratory manifestations
J11.00 Influenza due to unidentified influenza virus with unspecified type of pneumonia
J11.08 Influenza due to unidentified influenza virus with specified pneumonia
J11.1 Influenza due to unidentified influenza virus with other respiratory manifestations
J12.0 Adenoviral pneumonia
J12.1 Respiratory syncytial virus pneumonia
J12.82 Pneumonia due to coronavirus disease 2019
J12.9 Viral pneumonia, unspecified
J13 Pneumonia due to Streptococcus pneumoniae
J15.20 Pneumonia due to staphylococcus, unspecified
J15.211 Pneumonia due to Methicillin susceptible Staphylococcus aureus
J15.212 Pneumonia due to Methicillin resistant Staphylococcus aureus
J15.29 Pneumonia due to other staphylococcus
J15.3 Pneumonia due to streptococcus, group B
J15.4 Pneumonia due to other streptococci
J15.7 Pneumonia due to Mycoplasma pneumoniae
J16.0 Chlamydial pneumonia
J17 Pneumonia in diseases classified elsewhere
J18.0 Bronchopneumonia, unspecified organism
J18.1 Lobar pneumonia, unspecified organism
J18.2 Hypostatic pneumonia, unspecified organism
J18.8 Other pneumonia, unspecified organism
J18.9 Pneumonia, unspecified organism
J20.0 Acute bronchitis due to Mycoplasma pneumoniae
J20.1 Acute bronchitis due to Hemophilus influenzae
J20.2 Acute bronchitis due to streptococcus
J20.3 Acute bronchitis due to coxsackievirus
J20.4 Acute bronchitis due to parainfluenza virus
J20.5 Acute bronchitis due to respiratory syncytial virus
J20.6 Acute bronchitis due to rhinovirus
J20.7 Acute bronchitis due to echovirus
J20.8 Acute bronchitis due to other specified organisms
J20.9 Acute bronchitis, unspecified
J21.0 Acute bronchiolitis due to respiratory syncytial virus
J21.1 Acute bronchiolitis due to human metapneumovirus
J21.8 Acute bronchiolitis due to other specified organisms
J21.9 Acute bronchiolitis, unspecified
J22 Unspecified acute lower respiratory infection
J37.1 Chronic laryngotracheitis
J38.01 Paralysis of vocal cords and larynx, unilateral
J38.02 Paralysis of vocal cords and larynx, bilateral
J38.4 Edema of larynx
J38.5 Laryngeal spasm
J38.6 Stenosis of larynx
J39.3 Upper respiratory tract hypersensitivity reaction, site unspecified
J39.8 Other specified diseases of upper respiratory tract
J40 Bronchitis, not specified as acute or chronic
J41.0 Simple chronic bronchitis
J41.1 Mucopurulent chronic bronchitis
J41.8 Mixed simple and mucopurulent chronic bronchitis
J43.0 Unilateral pulmonary emphysema [MacLeod's syndrome]
J43.1 Panlobular emphysema
J43.2 Centrilobular emphysema
J43.8 Other emphysema
J43.9 Emphysema, unspecified
J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection
J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
J44.9 Chronic obstructive pulmonary disease, unspecified
J45.20 Mild intermittent asthma, uncomplicated
J45.21 Mild intermittent asthma with (acute) exacerbation
J45.22 Mild intermittent asthma with status asthmaticus
J45.30 Mild persistent asthma, uncomplicated
J45.31 Mild persistent asthma with (acute) exacerbation
J45.32 Mild persistent asthma with status asthmaticus
J45.40 Moderate persistent asthma, uncomplicated
J45.41 Moderate persistent asthma with (acute) exacerbation
J45.42 Moderate persistent asthma with status asthmaticus
J45.50 Severe persistent asthma, uncomplicated
J45.51 Severe persistent asthma with (acute) exacerbation
J45.52 Severe persistent asthma with status asthmaticus
J45.901 Unspecified asthma with (acute) exacerbation
J45.902 Unspecified asthma with status asthmaticus
J45.909 Unspecified asthma, uncomplicated
J45.990 Exercise induced bronchospasm
J45.991 Cough variant asthma
J45.998 Other asthma
J47.0 Bronchiectasis with acute lower respiratory infection
J47.1 Bronchiectasis with (acute) exacerbation
J47.9 Bronchiectasis, uncomplicated
J60 Coalworker's pneumoconiosis
J61 Pneumoconiosis due to asbestos and other mineral fibers
J62.0 Pneumoconiosis due to talc dust
J62.8 Pneumoconiosis due to other dust containing silica
J63.0 Aluminosis (of lung)
J63.1 Bauxite fibrosis (of lung)
J63.2 Berylliosis
J63.3 Graphite fibrosis (of lung)
J63.4 Siderosis
J63.5 Stannosis
J63.6 Pneumoconiosis due to other specified inorganic dusts
J64 Unspecified pneumoconiosis
J65 Pneumoconiosis associated with tuberculosis
J66.0 Byssinosis
J66.1 Flax-dressers' disease
J66.2 Cannabinosis
J66.8 Airway disease due to other specific organic dusts
J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
J68.1 Pulmonary edema due to chemicals, gases, fumes and vapors
J68.2 Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified
J68.3 Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors
J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapors
J69.0 Pneumonitis due to inhalation of food and vomit
J69.1 Pneumonitis due to inhalation of oils and essences
J69.8 Pneumonitis due to inhalation of other solids and liquids
J70.0 Acute pulmonary manifestations due to radiation
J70.1 Chronic and other pulmonary manifestations due to radiation
J70.2 Acute drug-induced interstitial lung disorders
J70.3 Chronic drug-induced interstitial lung disorders
J70.4 Drug-induced interstitial lung disorders, unspecified
J70.5 Respiratory conditions due to smoke inhalation
J70.8 Respiratory conditions due to other specified external agents
J70.9 Respiratory conditions due to unspecified external agent
J80 Acute respiratory distress syndrome
J81.0 Acute pulmonary edema
J81.1 Chronic pulmonary edema
J82.81 Chronic eosinophilic pneumonia
J82.82 Acute eosinophilic pneumonia
J82.83 Eosinophilic asthma
J84.01 Alveolar proteinosis
J84.02 Pulmonary alveolar microlithiasis
J84.03 Idiopathic pulmonary hemosiderosis
J84.09 Other alveolar and parieto-alveolar conditions
J84.10 Pulmonary fibrosis, unspecified
J84.111 Idiopathic interstitial pneumonia, not otherwise specified
J84.112 Idiopathic pulmonary fibrosis
J84.113 Idiopathic non-specific interstitial pneumonitis
J84.114 Acute interstitial pneumonitis
J84.115 Respiratory bronchiolitis interstitial lung disease
J84.116 Cryptogenic organizing pneumonia
J84.117 Desquamative interstitial pneumonia
J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere
J84.178 Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere
J84.2 Lymphoid interstitial pneumonia
J84.81 Lymphangioleiomyomatosis
J84.82 Adult pulmonary Langerhans cell histiocytosis
J84.83 Surfactant mutations of the lung
J84.841 Neuroendocrine cell hyperplasia of infancy
J84.842 Pulmonary interstitial glycogenosis
J84.843 Alveolar capillary dysplasia with vein misalignment
J84.848 Other interstitial lung diseases of childhood
J84.89 Other specified interstitial pulmonary diseases
J84.9 Interstitial pulmonary disease, unspecified
J85.0 Gangrene and necrosis of lung
J85.1 Abscess of lung with pneumonia
J85.2 Abscess of lung without pneumonia
J85.3 Abscess of mediastinum
J86.0 Pyothorax with fistula
J86.9 Pyothorax without fistula
J90 Pleural effusion, not elsewhere classified
J91.0 Malignant pleural effusion
J92.0 Pleural plaque with presence of asbestos
J92.9 Pleural plaque without asbestos
J93.0 Spontaneous tension pneumothorax
J93.11 Primary spontaneous pneumothorax
J93.12 Secondary spontaneous pneumothorax
J93.81 Chronic pneumothorax
J93.82 Other air leak
J93.83 Other pneumothorax
J93.9 Pneumothorax, unspecified
J94.0 Chylous effusion
J94.1 Fibrothorax
J94.2 Hemothorax
J94.8 Other specified pleural conditions
J94.9 Pleural condition, unspecified
J95.00 Unspecified tracheostomy complication
J95.01 Hemorrhage from tracheostomy stoma
J95.02 Infection of tracheostomy stoma
J95.03 Malfunction of tracheostomy stoma
J95.04 Tracheo-esophageal fistula following tracheostomy
J95.09 Other tracheostomy complication
J95.1 Acute pulmonary insufficiency following thoracic surgery
J95.2 Acute pulmonary insufficiency following nonthoracic surgery
J95.3 Chronic pulmonary insufficiency following surgery
J95.811 Postprocedural pneumothorax
J95.812 Postprocedural air leak
J95.821 Acute postprocedural respiratory failure
J95.822 Acute and chronic postprocedural respiratory failure
J95.84 Transfusion-related acute lung injury (TRALI)
J95.850 Mechanical complication of respirator
J95.860 Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
J95.861 Postprocedural hematoma of a respiratory system organ or structure following other procedure
J95.862 Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure
J95.863 Postprocedural seroma of a respiratory system organ or structure following other procedure
J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified
J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
J96.01 Acute respiratory failure with hypoxia
J96.02 Acute respiratory failure with hypercapnia
J96.10 Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
J96.11 Chronic respiratory failure with hypoxia
J96.12 Chronic respiratory failure with hypercapnia
J96.20 Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
J96.21 Acute and chronic respiratory failure with hypoxia
J96.22 Acute and chronic respiratory failure with hypercapnia
J96.90 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
J96.91 Respiratory failure, unspecified with hypoxia
J96.92 Respiratory failure, unspecified with hypercapnia
J98.01 Acute bronchospasm
J98.09 Other diseases of bronchus, not elsewhere classified
J98.11 Atelectasis
J98.19 Other pulmonary collapse
J98.2 Interstitial emphysema
J98.3 Compensatory emphysema
J98.4 Other disorders of lung
J98.51 Mediastinitis
J98.59 Other diseases of mediastinum, not elsewhere classified
J98.6 Disorders of diaphragm
J98.8 Other specified respiratory disorders
J99 Respiratory disorders in diseases classified elsewhere
K76.81 Hepatopulmonary syndrome
M32.13 Lung involvement in systemic lupus erythematosus
M33.01 Juvenile dermatomyositis with respiratory involvement
M33.11 Other dermatomyositis with respiratory involvement
M33.21 Polymyositis with respiratory involvement
M33.91 Dermatopolymyositis, unspecified with respiratory involvement
M34.81 Systemic sclerosis with lung involvement
M35.02 Sjogren syndrome with lung involvement
O08.2 Embolism following ectopic and molar pregnancy
O74.0 Aspiration pneumonitis due to anesthesia during labor and delivery
O74.1 Other pulmonary complications of anesthesia during labor and delivery
O89.01 Aspiration pneumonitis due to anesthesia during the puerperium
O89.09 Other pulmonary complications of anesthesia during the puerperium
P24.00 Meconium aspiration without respiratory symptoms
P24.01 Meconium aspiration with respiratory symptoms
P24.10 Neonatal aspiration of (clear) amniotic fluid and mucus without respiratory symptoms
P24.11 Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms
P24.20 Neonatal aspiration of blood without respiratory symptoms
P24.21 Neonatal aspiration of blood with respiratory symptoms
P24.80 Other neonatal aspiration without respiratory symptoms
P24.81 Other neonatal aspiration with respiratory symptoms
P24.9 Neonatal aspiration, unspecified
P28.81 Respiratory arrest of newborn
P36.0 Sepsis of newborn due to streptococcus, group B
P36.10 Sepsis of newborn due to unspecified streptococci
P36.19 Sepsis of newborn due to other streptococci
P36.2 Sepsis of newborn due to Staphylococcus aureus
P36.30 Sepsis of newborn due to unspecified staphylococci
P36.39 Sepsis of newborn due to other staphylococci
P36.4 Sepsis of newborn due to Escherichia coli
P36.5 Sepsis of newborn due to anaerobes
P36.8 Other bacterial sepsis of newborn
P36.9 Bacterial sepsis of newborn, unspecified
P39.2 Intra-amniotic infection affecting newborn, not elsewhere classified
P39.8 Other specified infections specific to the perinatal period
R04.2 Hemoptysis
R04.81 Acute idiopathic pulmonary hemorrhage in infants
R04.89 Hemorrhage from other sites in respiratory passages
R04.9 Hemorrhage from respiratory passages, unspecified
R05.1 Acute cough
R05.2 Subacute cough
R05.3 Chronic cough
R06.00 Dyspnea, unspecified
R06.01 Orthopnea
R06.02 Shortness of breath
R06.03 Acute respiratory distress
R06.09 Other forms of dyspnea
R06.1 Stridor
R06.2 Wheezing
R06.3 Periodic breathing
R06.4 Hyperventilation
R06.81 Apnea, not elsewhere classified
R06.82 Tachypnea, not elsewhere classified
R06.89 Other abnormalities of breathing
R07.1 Chest pain on breathing
R07.81 Pleurodynia
R09.01 Asphyxia
R09.02 Hypoxemia
R09.1 Pleurisy
R09.2 Respiratory arrest
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
R68.13 Apparent life threatening event in infant (ALTE)
R79.81 Abnormal blood-gas level
R91.8 Other nonspecific abnormal finding of lung field
R94.2 Abnormal results of pulmonary function studies
S20.213A Contusion of bilateral front wall of thorax, initial encounter
S20.214A Contusion of middle front wall of thorax, initial encounter
S20.223A Contusion of bilateral back wall of thorax, initial encounter
S20.224A Contusion of middle back wall of thorax, initial encounter
S20.343A External constriction of bilateral front wall of thorax, initial encounter
S20.344A External constriction of middle front wall of thorax, initial encounter
S21.301A Unspecified open wound of right front wall of thorax with penetration into thoracic cavity, initial encounter
S21.301D Unspecified open wound of right front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.301S Unspecified open wound of right front wall of thorax with penetration into thoracic cavity, sequela
S21.302A Unspecified open wound of left front wall of thorax with penetration into thoracic cavity, initial encounter
S21.302D Unspecified open wound of left front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.302S Unspecified open wound of left front wall of thorax with penetration into thoracic cavity, sequela
S21.309A Unspecified open wound of unspecified front wall of thorax with penetration into thoracic cavity, initial encounter
S21.309D Unspecified open wound of unspecified front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.309S Unspecified open wound of unspecified front wall of thorax with penetration into thoracic cavity, sequela
S21.311A Laceration without foreign body of right front wall of thorax with penetration into thoracic cavity, initial encounter
S21.311D Laceration without foreign body of right front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.311S Laceration without foreign body of right front wall of thorax with penetration into thoracic cavity, sequela
S21.312A Laceration without foreign body of left front wall of thorax with penetration into thoracic cavity, initial encounter
S21.312D Laceration without foreign body of left front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.312S Laceration without foreign body of left front wall of thorax with penetration into thoracic cavity, sequela
S21.319A Laceration without foreign body of unspecified front wall of thorax with penetration into thoracic cavity, initial encounter
S21.319D Laceration without foreign body of unspecified front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.319S Laceration without foreign body of unspecified front wall of thorax with penetration into thoracic cavity, sequela
S21.321A Laceration with foreign body of right front wall of thorax with penetration into thoracic cavity, initial encounter
S21.321D Laceration with foreign body of right front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.321S Laceration with foreign body of right front wall of thorax with penetration into thoracic cavity, sequela
S21.322A Laceration with foreign body of left front wall of thorax with penetration into thoracic cavity, initial encounter
S21.322D Laceration with foreign body of left front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.322S Laceration with foreign body of left front wall of thorax with penetration into thoracic cavity, sequela
S21.329A Laceration with foreign body of unspecified front wall of thorax with penetration into thoracic cavity, initial encounter
S21.329D Laceration with foreign body of unspecified front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.329S Laceration with foreign body of unspecified front wall of thorax with penetration into thoracic cavity, sequela
S21.331A Puncture wound without foreign body of right front wall of thorax with penetration into thoracic cavity, initial encounter
S21.331D Puncture wound without foreign body of right front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.331S Puncture wound without foreign body of right front wall of thorax with penetration into thoracic cavity, sequela
S21.332A Puncture wound without foreign body of left front wall of thorax with penetration into thoracic cavity, initial encounter
S21.332D Puncture wound without foreign body of left front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.332S Puncture wound without foreign body of left front wall of thorax with penetration into thoracic cavity, sequela
S21.339A Puncture wound without foreign body of unspecified front wall of thorax with penetration into thoracic cavity, initial encounter
S21.339D Puncture wound without foreign body of unspecified front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.339S Puncture wound without foreign body of unspecified front wall of thorax with penetration into thoracic cavity, sequela
S21.341A Puncture wound with foreign body of right front wall of thorax with penetration into thoracic cavity, initial encounter
S21.341D Puncture wound with foreign body of right front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.341S Puncture wound with foreign body of right front wall of thorax with penetration into thoracic cavity, sequela
S21.342A Puncture wound with foreign body of left front wall of thorax with penetration into thoracic cavity, initial encounter
S21.342D Puncture wound with foreign body of left front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.342S Puncture wound with foreign body of left front wall of thorax with penetration into thoracic cavity, sequela
S21.349A Puncture wound with foreign body of unspecified front wall of thorax with penetration into thoracic cavity, initial encounter
S21.349D Puncture wound with foreign body of unspecified front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.349S Puncture wound with foreign body of unspecified front wall of thorax with penetration into thoracic cavity, sequela
S21.351A Open bite of right front wall of thorax with penetration into thoracic cavity, initial encounter
S21.351D Open bite of right front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.351S Open bite of right front wall of thorax with penetration into thoracic cavity, sequela
S21.352A Open bite of left front wall of thorax with penetration into thoracic cavity, initial encounter
S21.352D Open bite of left front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.352S Open bite of left front wall of thorax with penetration into thoracic cavity, sequela
S21.359A Open bite of unspecified front wall of thorax with penetration into thoracic cavity, initial encounter
S21.359D Open bite of unspecified front wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.359S Open bite of unspecified front wall of thorax with penetration into thoracic cavity, sequela
S21.401A Unspecified open wound of right back wall of thorax with penetration into thoracic cavity, initial encounter
S21.401D Unspecified open wound of right back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.401S Unspecified open wound of right back wall of thorax with penetration into thoracic cavity, sequela
S21.402A Unspecified open wound of left back wall of thorax with penetration into thoracic cavity, initial encounter
S21.402D Unspecified open wound of left back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.402S Unspecified open wound of left back wall of thorax with penetration into thoracic cavity, sequela
S21.409A Unspecified open wound of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter
S21.409D Unspecified open wound of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.409S Unspecified open wound of unspecified back wall of thorax with penetration into thoracic cavity, sequela
S21.411A Laceration without foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter
S21.411D Laceration without foreign body of right back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.411S Laceration without foreign body of right back wall of thorax with penetration into thoracic cavity, sequela
S21.412A Laceration without foreign body of left back wall of thorax with penetration into thoracic cavity, initial encounter
S21.412D Laceration without foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.412S Laceration without foreign body of left back wall of thorax with penetration into thoracic cavity, sequela
S21.419A Laceration without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter
S21.419D Laceration without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.419S Laceration without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, sequela
S21.421A Laceration with foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter
S21.421D Laceration with foreign body of right back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.421S Laceration with foreign body of right back wall of thorax with penetration into thoracic cavity, sequela
S21.422A Laceration with foreign body of left back wall of thorax with penetration into thoracic cavity, initial encounter
S21.422D Laceration with foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.422S Laceration with foreign body of left back wall of thorax with penetration into thoracic cavity, sequela
S21.429A Laceration with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter
S21.429D Laceration with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.429S Laceration with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, sequela
S21.431A Puncture wound without foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter
S21.431D Puncture wound without foreign body of right back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.431S Puncture wound without foreign body of right back wall of thorax with penetration into thoracic cavity, sequela
S21.432A Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity, initial encounter
S21.432D Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.432S Puncture wound without foreign body of left back wall of thorax with penetration into thoracic cavity, sequela
S21.439A Puncture wound without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter
S21.439D Puncture wound without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.439S Puncture wound without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, sequela
S21.441A Puncture wound with foreign body of right back wall of thorax with penetration into thoracic cavity, initial encounter
S21.441D Puncture wound with foreign body of right back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.441S Puncture wound with foreign body of right back wall of thorax with penetration into thoracic cavity, sequela
S21.442A Puncture wound with foreign body of left back wall of thorax with penetration into thoracic cavity, initial encounter
S21.442D Puncture wound with foreign body of left back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.442S Puncture wound with foreign body of left back wall of thorax with penetration into thoracic cavity, sequela
S21.449A Puncture wound with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter
S21.449D Puncture wound with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.449S Puncture wound with foreign body of unspecified back wall of thorax with penetration into thoracic cavity, sequela
S21.451A Open bite of right back wall of thorax with penetration into thoracic cavity, initial encounter
S21.451D Open bite of right back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.451S Open bite of right back wall of thorax with penetration into thoracic cavity, sequela
S21.452A Open bite of left back wall of thorax with penetration into thoracic cavity, initial encounter
S21.452D Open bite of left back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.452S Open bite of left back wall of thorax with penetration into thoracic cavity, sequela
S21.459A Open bite of unspecified back wall of thorax with penetration into thoracic cavity, initial encounter
S21.459D Open bite of unspecified back wall of thorax with penetration into thoracic cavity, subsequent encounter
S21.459S Open bite of unspecified back wall of thorax with penetration into thoracic cavity, sequela
S27.0XXA Traumatic pneumothorax, initial encounter
S27.0XXD Traumatic pneumothorax, subsequent encounter
S27.0XXS Traumatic pneumothorax, sequela
S27.1XXA Traumatic hemothorax, initial encounter
S27.1XXD Traumatic hemothorax, subsequent encounter
S27.1XXS Traumatic hemothorax, sequela
S27.2XXA Traumatic hemopneumothorax, initial encounter
S27.2XXD Traumatic hemopneumothorax, subsequent encounter
S27.2XXS Traumatic hemopneumothorax, sequela
S27.301A Unspecified injury of lung, unilateral, initial encounter
S27.301D Unspecified injury of lung, unilateral, subsequent encounter
S27.301S Unspecified injury of lung, unilateral, sequela
S27.302A Unspecified injury of lung, bilateral, initial encounter
S27.302D Unspecified injury of lung, bilateral, subsequent encounter
S27.302S Unspecified injury of lung, bilateral, sequela
S27.309A Unspecified injury of lung, unspecified, initial encounter
S27.309D Unspecified injury of lung, unspecified, subsequent encounter
S27.309S Unspecified injury of lung, unspecified, sequela
S27.311A Primary blast injury of lung, unilateral, initial encounter
S27.311D Primary blast injury of lung, unilateral, subsequent encounter
S27.311S Primary blast injury of lung, unilateral, sequela
S27.312A Primary blast injury of lung, bilateral, initial encounter
S27.312D Primary blast injury of lung, bilateral, subsequent encounter
S27.312S Primary blast injury of lung, bilateral, sequela
S27.319A Primary blast injury of lung, unspecified, initial encounter
S27.319D Primary blast injury of lung, unspecified, subsequent encounter
S27.319S Primary blast injury of lung, unspecified, sequela
S27.321A Contusion of lung, unilateral, initial encounter
S27.321D Contusion of lung, unilateral, subsequent encounter
S27.321S Contusion of lung, unilateral, sequela
S27.322A Contusion of lung, bilateral, initial encounter
S27.322D Contusion of lung, bilateral, subsequent encounter
S27.322S Contusion of lung, bilateral, sequela
S27.329A Contusion of lung, unspecified, initial encounter
S27.329D Contusion of lung, unspecified, subsequent encounter
S27.329S Contusion of lung, unspecified, sequela
S27.331A Laceration of lung, unilateral, initial encounter
S27.331D Laceration of lung, unilateral, subsequent encounter
S27.331S Laceration of lung, unilateral, sequela
S27.332A Laceration of lung, bilateral, initial encounter
S27.332D Laceration of lung, bilateral, subsequent encounter
S27.332S Laceration of lung, bilateral, sequela
S27.339A Laceration of lung, unspecified, initial encounter
S27.339D Laceration of lung, unspecified, subsequent encounter
S27.339S Laceration of lung, unspecified, sequela
S27.391A Other injuries of lung, unilateral, initial encounter
S27.391D Other injuries of lung, unilateral, subsequent encounter
S27.391S Other injuries of lung, unilateral, sequela
S27.392A Other injuries of lung, bilateral, initial encounter
S27.392D Other injuries of lung, bilateral, subsequent encounter
S27.392S Other injuries of lung, bilateral, sequela
S27.399A Other injuries of lung, unspecified, initial encounter
S27.399D Other injuries of lung, unspecified, subsequent encounter
S27.399S Other injuries of lung, unspecified, sequela
S27.401A Unspecified injury of bronchus, unilateral, initial encounter
S27.401D Unspecified injury of bronchus, unilateral, subsequent encounter
S27.401S Unspecified injury of bronchus, unilateral, sequela
S27.402A Unspecified injury of bronchus, bilateral, initial encounter
S27.402D Unspecified injury of bronchus, bilateral, subsequent encounter
S27.402S Unspecified injury of bronchus, bilateral, sequela
S27.409A Unspecified injury of bronchus, unspecified, initial encounter
S27.409D Unspecified injury of bronchus, unspecified, subsequent encounter
S27.409S Unspecified injury of bronchus, unspecified, sequela
S27.411A Primary blast injury of bronchus, unilateral, initial encounter
S27.411D Primary blast injury of bronchus, unilateral, subsequent encounter
S27.411S Primary blast injury of bronchus, unilateral, sequela
S27.412A Primary blast injury of bronchus, bilateral, initial encounter
S27.412D Primary blast injury of bronchus, bilateral, subsequent encounter
S27.412S Primary blast injury of bronchus, bilateral, sequela
S27.419A Primary blast injury of bronchus, unspecified, initial encounter
S27.419D Primary blast injury of bronchus, unspecified, subsequent encounter
S27.419S Primary blast injury of bronchus, unspecified, sequela
S27.421A Contusion of bronchus, unilateral, initial encounter
S27.421D Contusion of bronchus, unilateral, subsequent encounter
S27.421S Contusion of bronchus, unilateral, sequela
S27.422A Contusion of bronchus, bilateral, initial encounter
S27.422D Contusion of bronchus, bilateral, subsequent encounter
S27.422S Contusion of bronchus, bilateral, sequela
S27.429A Contusion of bronchus, unspecified, initial encounter
S27.429D Contusion of bronchus, unspecified, subsequent encounter
S27.429S Contusion of bronchus, unspecified, sequela
S27.431A Laceration of bronchus, unilateral, initial encounter
S27.431D Laceration of bronchus, unilateral, subsequent encounter
S27.431S Laceration of bronchus, unilateral, sequela
S27.432A Laceration of bronchus, bilateral, initial encounter
S27.432D Laceration of bronchus, bilateral, subsequent encounter
S27.432S Laceration of bronchus, bilateral, sequela
S27.439A Laceration of bronchus, unspecified, initial encounter
S27.439D Laceration of bronchus, unspecified, subsequent encounter
S27.439S Laceration of bronchus, unspecified, sequela
S27.491A Other injury of bronchus, unilateral, initial encounter
S27.491D Other injury of bronchus, unilateral, subsequent encounter
S27.491S Other injury of bronchus, unilateral, sequela
S27.492A Other injury of bronchus, bilateral, initial encounter
S27.492D Other injury of bronchus, bilateral, subsequent encounter
S27.492S Other injury of bronchus, bilateral, sequela
S27.499A Other injury of bronchus, unspecified, initial encounter
S27.499D Other injury of bronchus, unspecified, subsequent encounter
S27.499S Other injury of bronchus, unspecified, sequela
S27.50XA Unspecified injury of thoracic trachea, initial encounter
S27.50XD Unspecified injury of thoracic trachea, subsequent encounter
S27.50XS Unspecified injury of thoracic trachea, sequela
S27.51XA Primary blast injury of thoracic trachea, initial encounter
S27.51XD Primary blast injury of thoracic trachea, subsequent encounter
S27.51XS Primary blast injury of thoracic trachea, sequela
S27.52XD Contusion of thoracic trachea, subsequent encounter
S27.52XS Contusion of thoracic trachea, sequela
S27.53XA Laceration of thoracic trachea, initial encounter
S27.53XD Laceration of thoracic trachea, subsequent encounter
S27.53XS Laceration of thoracic trachea, sequela
S27.59XA Other injury of thoracic trachea, initial encounter
S27.59XD Other injury of thoracic trachea, subsequent encounter
S27.59XS Other injury of thoracic trachea, sequela
S27.60XA Unspecified injury of pleura, initial encounter
S27.60XD Unspecified injury of pleura, subsequent encounter
S27.60XS Unspecified injury of pleura, sequela
S27.63XA Laceration of pleura, initial encounter
S27.63XD Laceration of pleura, subsequent encounter
S27.63XS Laceration of pleura, sequela
S27.69XA Other injury of pleura, initial encounter
S27.69XD Other injury of pleura, subsequent encounter
S27.69XS Other injury of pleura, sequela
S27.802A Contusion of diaphragm, initial encounter
S27.802D Contusion of diaphragm, subsequent encounter
S27.802S Contusion of diaphragm, sequela
S27.803A Laceration of diaphragm, initial encounter
S27.803D Laceration of diaphragm, subsequent encounter
S27.803S Laceration of diaphragm, sequela
S27.808A Other injury of diaphragm, initial encounter
S27.808D Other injury of diaphragm, subsequent encounter
S27.808S Other injury of diaphragm, sequela
S27.809A Unspecified injury of diaphragm, initial encounter
S27.809D Unspecified injury of diaphragm, subsequent encounter
S27.809S Unspecified injury of diaphragm, sequela
S27.9XXA Injury of unspecified intrathoracic organ, initial encounter
S27.9XXD Injury of unspecified intrathoracic organ, subsequent encounter
S27.9XXS Injury of unspecified intrathoracic organ, sequela
T17.508A Unspecified foreign body in bronchus causing other injury, initial encounter
T17.508D Unspecified foreign body in bronchus causing other injury, subsequent encounter
T17.508S Unspecified foreign body in bronchus causing other injury, sequela
T17.518A Gastric contents in bronchus causing other injury, initial encounter
T17.518D Gastric contents in bronchus causing other injury, subsequent encounter
T17.518S Gastric contents in bronchus causing other injury, sequela
T17.528A Food in bronchus causing other injury, initial encounter
T17.528D Food in bronchus causing other injury, subsequent encounter
T17.528S Food in bronchus causing other injury, sequela
T17.598A Other foreign object in bronchus causing other injury, initial encounter
T17.598D Other foreign object in bronchus causing other injury, subsequent encounter
T17.598S Other foreign object in bronchus causing other injury, sequela
T53.5X1A Toxic effect of chlorofluorocarbons, accidental (unintentional), initial encounter
T53.5X2A Toxic effect of chlorofluorocarbons, intentional self-harm, initial encounter
T53.5X3A Toxic effect of chlorofluorocarbons, assault, initial encounter
T53.5X4A Toxic effect of chlorofluorocarbons, undetermined, initial encounter
T57.3X1A Toxic effect of hydrogen cyanide, accidental (unintentional), initial encounter
T57.3X2A Toxic effect of hydrogen cyanide, intentional self-harm, initial encounter
T57.3X3A Toxic effect of hydrogen cyanide, assault, initial encounter
T57.3X4A Toxic effect of hydrogen cyanide, undetermined, initial encounter
T59.0X1A Toxic effect of nitrogen oxides, accidental (unintentional), initial encounter
T59.0X2A Toxic effect of nitrogen oxides, intentional self-harm, initial encounter
T59.0X3A Toxic effect of nitrogen oxides, assault, initial encounter
T59.0X4A Toxic effect of nitrogen oxides, undetermined, initial encounter
T59.1X1A Toxic effect of sulfur dioxide, accidental (unintentional), initial encounter
T59.1X2A Toxic effect of sulfur dioxide, intentional self-harm, initial encounter
T59.1X3A Toxic effect of sulfur dioxide, assault, initial encounter
T59.1X4A Toxic effect of sulfur dioxide, undetermined, initial encounter
T59.2X1A Toxic effect of formaldehyde, accidental (unintentional), initial encounter
T59.2X2A Toxic effect of formaldehyde, intentional self-harm, initial encounter
T59.2X3A Toxic effect of formaldehyde, assault, initial encounter
T59.2X4A Toxic effect of formaldehyde, undetermined, initial encounter
T59.3X1A Toxic effect of lacrimogenic gas, accidental (unintentional), initial encounter
T59.3X2A Toxic effect of lacrimogenic gas, intentional self-harm, initial encounter
T59.3X3A Toxic effect of lacrimogenic gas, assault, initial encounter
T59.3X4A Toxic effect of lacrimogenic gas, undetermined, initial encounter
T59.4X1A Toxic effect of chlorine gas, accidental (unintentional), initial encounter
T59.4X2A Toxic effect of chlorine gas, intentional self-harm, initial encounter
T59.4X3A Toxic effect of chlorine gas, assault, initial encounter
T59.4X4A Toxic effect of chlorine gas, undetermined, initial encounter
T59.5X1A Toxic effect of fluorine gas and hydrogen fluoride, accidental (unintentional), initial encounter
T59.5X2A Toxic effect of fluorine gas and hydrogen fluoride, intentional self-harm, initial encounter
T59.5X3A Toxic effect of fluorine gas and hydrogen fluoride, assault, initial encounter
T59.5X4A Toxic effect of fluorine gas and hydrogen fluoride, undetermined, initial encounter
T59.6X1A Toxic effect of hydrogen sulfide, accidental (unintentional), initial encounter
T59.6X2A Toxic effect of hydrogen sulfide, intentional self-harm, initial encounter
T59.6X3A Toxic effect of hydrogen sulfide, assault, initial encounter
T59.6X4A Toxic effect of hydrogen sulfide, undetermined, initial encounter
T59.7X1A Toxic effect of carbon dioxide, accidental (unintentional), initial encounter
T59.7X2A Toxic effect of carbon dioxide, intentional self-harm, initial encounter
T59.7X3A Toxic effect of carbon dioxide, assault, initial encounter
T59.7X4A Toxic effect of carbon dioxide, undetermined, initial encounter
T59.811A Toxic effect of smoke, accidental (unintentional), initial encounter
T59.812A Toxic effect of smoke, intentional self-harm, initial encounter
T59.813A Toxic effect of smoke, assault, initial encounter
T59.814A Toxic effect of smoke, undetermined, initial encounter
T59.891A Toxic effect of other specified gases, fumes and vapors, accidental (unintentional), initial encounter
T59.892A Toxic effect of other specified gases, fumes and vapors, intentional self-harm, initial encounter
T59.893A Toxic effect of other specified gases, fumes and vapors, assault, initial encounter
T59.894A Toxic effect of other specified gases, fumes and vapors, undetermined, initial encounter
T59.91XA Toxic effect of unspecified gases, fumes and vapors, accidental (unintentional), initial encounter
T59.92XA Toxic effect of unspecified gases, fumes and vapors, intentional self-harm, initial encounter
T59.93XA Toxic effect of unspecified gases, fumes and vapors, assault, initial encounter
T59.94XA Toxic effect of unspecified gases, fumes and vapors, undetermined, initial encounter
Z43.0 Encounter for attention to tracheostomy
Z48.24 Encounter for aftercare following lung transplant
Z48.280 Encounter for aftercare following heart-lung transplant
Z53.32 Thoracoscopic surgical procedure converted to open procedure
Z79.899 Other long term (current) drug therapy
Z93.0 Tracheostomy status
Z94.2 Lung transplant status
Z94.3 Heart and lungs transplant status
Z99.11 Dependence on respirator [ventilator] status
U09.9 Post COVID-19 condition, unspecified

ICD-10-CM Codes that DO NOT Support Medical Necessity

N/A

ICD-10-PCS Codes

N/A

Additional ICD-10 Information

N/A

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

CodeDescription
012x Hospital Inpatient (Medicare Part B only)
013x Hospital Outpatient
018x Hospital - Swing Beds
021x Skilled Nursing - Inpatient (Including Medicare Part A)
022x Skilled Nursing - Inpatient (Medicare Part B only)
023x Skilled Nursing - Outpatient
071x Clinic - Rural Health
074x Clinic - Outpatient Rehabilitation Facility (ORF)
075x Clinic - Comprehensive Outpatient Rehabilitation Facility (CORF)
077x Clinic - Federally Qualified Health Center (FQHC)
085x Critical Access Hospital

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

CodeDescription
0410 Respiratory Services - General Classification
0412 Respiratory Services - Inhalation Services
0413 Respiratory Services - Hyperbaric Oxygen Therapy
0419 Respiratory Services - Other Respiratory Services
0420 Physical Therapy - General Classification
0421 Physical Therapy - Visit
0422 Physical Therapy - Hourly
0423 Physical Therapy - Group
0424 Physical Therapy - Evaluation or Re-evaluation
0429 Physical Therapy - Other Physical Therapy
0430 Occupational Therapy - General Classification
0431 Occupational Therapy - Visit
0432 Occupational Therapy - Hourly
0433 Occupational Therapy - Group
0434 Occupational Therapy - Evaluation or Reevaluation
0439 Occupational Therapy - Other Occupational Therapy
0460 Pulmonary Function - General Classification

Other Coding Information

N/A

Revision History Information

Revision History DateRevision History NumberRevision History Explanation
10/01/2021 R9

Under ICD-10-CM Codes that Support Medical Necessity Group 1: Codes deleted R05, added R05.1, R05.2, R05.3, U09.9, and the description was revised for M35.02. This revision is due to the Annual ICD-10 Update and will become effective on 10/1/21.

06/24/2021 R8

Under CMS National Coverage Policy removed regulation CMS Manual System, Pub. 100-20, One-Time Notification, Transmittal 477, dated April 24, 2009, Change Request 6338 and updated section headings for regulation CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 12, §30.1 Rules for Payment of CORF Services and §40.5 Respiratory Therapy Services.

01/01/2021 R7

Under ICD-10 Codes that Support Medical Necessity Group 1: Codes deleted U07.1. This revision is retroactive effective for dates of service on or after 1/1/2021.

Under CPT/HCPCS Codes Group 1: Codes deleted 94250, 94400 and 94750, and changed descriptors for 94002, 94003 and 94375. Under ICD-10 Codes that Support Medical Necessity Group 1: Codes added J12.82. This revision is due to the Q1 2021 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/2021.

10/01/2020 R6

Under ICD-10 Codes that Support Medical Necessity Group 1: Codes deleted J09.X3, J09.X9, R78.81 and R91.1. This revision will become effective 10/1/20.

Under ICD-10 Codes that Support Medical Necessity Group 1: Codes the description was revised for D57.411, deleted J82 and J84.17, and added D57.431, D57.451, J82.81, J82.82, J82.83, J84.170, J84.178, S20.213A, S20.214A, S20.223A, S20.224A, S20.343A and S20.344A. This revision is due to the Annual ICD-10 Code Update and is effective on 10/1/20.

04/01/2020 R5

Under ICD-10 Codes that Support Medical Necessity Group 1: Codes added U07.1. This revision is due to the Q2 2020 Code Update and is effective for dates of service on or after 4/1/2020.

01/01/2020 R4

Under CPT/HCPCS Codes Group 1: Codes the description changed for 94728. This revision is due to the 2020 Annual CPT/HCPCS Code Update and is effective on January 1, 2020.

10/17/2019 R3

This article is being revised in order to adhere to CMS requirements per chapter 13, section 13.5.1 of the Program Integrity Manual, to remove all coding from LCDs and incorporate into related Billing and Coding Articles. Regulations regarding billing and coding were removed from the CMS National Coverage Policy section of the related Respiratory Therapy (Respiratory Care) L34430 LCD and placed in this article. Under Article Text removed subheading Documentation Requirements.

10/01/2019 R2

Under Covered ICD-10 Codes Group 1: Codes the description changed for ICD-10 code J44.0 and ICD-10 codes I26.93 and I26.94 were added. This revision is due to the 2019 Annual ICD-10 Code Update and is effective on October 1, 2019.

07/25/2019 R1

All coding located in the Coding Information section has been removed from the related Respiratory Therapy (Respiratory Care) L34430 LCD and added to this article.

Associated Documents

Related Local Coverage Documents
LCDs
L34430 - Respiratory Therapy (Respiratory Care)
Related National Coverage Documents
N/A
Statutory Requirements URLs
N/A
Rules and Regulations URLs
N/A
CMS Manual Explanations URLs
N/A
Other URLs
N/A
Public Versions
Updated On Effective Dates Status
08/18/2021 10/01/2021 - N/A Currently in Effect You are here
06/15/2021 06/24/2021 - 09/30/2021 Superseded View
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Keywords

  • Respiratory Therapy
  • Respiratory Care