J06

J06: Acute upper respiratory infections of multiple and unspecified sites

Non-billable headerICD-10-CM

J06 is a non-billable header ICD-10-CM code for acute upper respiratory infections of multiple and unspecified sites. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

acute respiratory infection NOS (J22)
influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
streptococcal pharyngitis (J02.0)

Other codes that can never be billed with J06

Their own Excludes1 notes name this code, so the conflict is not listed above.

J02Acute pharyngitis
J22Unspecified acute lower respiratory infection
J39Other diseases of upper respiratory tract

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead J06

2 child codes. Green means billable.