J98.6
J98.6: Disorders of diaphragm
Billable / specific codeICD-10-CM
J98.6 is a billable, specific ICD-10-CM code for disorders of diaphragm. It is valid for submission on a claim.
Check J98.6 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.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- diaphragmatic hernia (K44.-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Diaphragmatitis
- Paralysis of diaphragm
- Relaxation of diaphragm
Excludes1 inherited from the categories above J98.6
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above J98.6
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J98.6 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52494High Frequency Chest Wall Oscillation Devices - Policy Article
- A52510Mechanical In-exsufflation Devices - Policy Article
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A56784Billing and Coding: Pulmonary Stress Testing
Alphabetic index entries that lead here
- Diaphragmatitis, diaphragmitis
- Disease, diseased›diaphragm
- Disorder›diaphragm
- Ossification›diaphragm
- Paralysis, paralytic›diaphragm(flaccid)
- Relaxation›diaphragm
- Deformity›diaphragm›acquired
Code history
Unchanged in every release from FY2024 to FY2027.