J00-J06 — Acute upper respiratory infections
ICD-10-CM codes J00-J06 cover acute upper respiratory infections, within diseases of the respiratory system. The block holds 54 codes across 7 categories, of which 35 are billable and 19 are header codes that cannot be submitted on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
What else to watch in J00-J06
- 27 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.