J22
J22: Unspecified acute lower respiratory infection
Billable / specific codeICD-10-CM
J22 is a billable, specific ICD-10-CM code for unspecified acute lower respiratory infection. It is valid for submission on a claim.
Check J22 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- upper respiratory infection (acute) (J06.9)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acute (lower) respiratory (tract) infection NOS
Other codes that can never be billed with J22
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
J22 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- 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
- Infection, infected, infective›chest
- Infection, infected, infective›respiratory NEC›acute
- Infection, infected, infective›respiratory NEC›lower(acute)
Code history
Unchanged in every release from FY2024 to FY2027.