R06

R06: Abnormalities of breathing

Non-billable headerICD-10-CM

R06 is a non-billable header ICD-10-CM code for abnormalities of breathing. 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 distress syndrome (J80)
respiratory arrest (R09.2)
respiratory arrest of newborn (P28.81)
respiratory distress syndrome of newborn (P22.-)
respiratory failure (J96.-)
respiratory failure of newborn (P28.5)

Other codes that can never be billed with R06

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

J38Diseases of vocal cords and larynx, not elsewhere classified
J45Asthma
Z03.83Encounter for observation for suspected conditions related to home physiologic monitoring device ruled out
R06.0Dyspnea
R09.0Asphyxia and hypoxemia
R09.2Respiratory arrest
G47.3Sleep apnea

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 R06

10 child codes. Green means billable.