J06.9
J06.9: Acute upper respiratory infection, unspecified
Billable / specific codeICD-10-CM
J06.9 is a billable, specific ICD-10-CM code for acute upper respiratory infection, unspecified. It is valid for submission on a claim.
Check J06.9 with the rest of the claim: free scrubberUse additional code
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Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Upper respiratory disease, acute
- Upper respiratory infection NOS
Excludes1 inherited from the categories above J06.9
A category’s note binds every code beneath it.
Other codes that can never be billed with J06.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J06.9 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A58575Billing and Coding: Respiratory Pathogen Panel Testing
- A58577Billing and Coding: Respiratory Pathogen Panel Testing
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- Tracheopharyngitis(acute)
- Inflammation, inflamed, inflammatory›respiratory, upper
- Disease, diseased›respiratory›acute or subacute NOS
- Infection, infected, infective›respiratory NEC›upper NOS(acute)
- Virus, viral›respiratory syncytial›upper respiratory infection
- Disease, diseased›respiratory›upper›acute or subacute
- Disease, diseased›respiratory›upper›streptococcal
- Infection, infected, infective›respiratory NEC›upper NOS›streptococcal
- Infection, infected, infective›respiratory NEC›upper NOS›viral NOS
- Infection, infected, infective›virus, viral NOS›respiratory syncytial›upper respiratory infection
- Infection, infected, infective›respiratory NEC›upper NOS›viral NOS›due to respiratory syncytial virus(RSV)
Code history
Unchanged in every release from FY2024 to FY2027.