R06.4

R06.4: Hyperventilation

Billable / specific codeICD-10-CM

R06.4 is a billable, specific ICD-10-CM code for hyperventilation. It is valid for submission on a claim.

Check R06.4 with the rest of the claim: free scrubber

Excludes1: never code together

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

psychogenic hyperventilation (F45.8)

Excludes1 inherited from the categories above R06.4

A category’s note binds every code beneath it.

Written on R06: Abnormalities of breathing

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 R06.4

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

R09.0Asphyxia and hypoxemia

Risk adjustment

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

Medicare coverage

R06.4 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56494Billing and Coding: Cardiovascular Nuclear Medicine
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

Hyperventilation(tetany)
Dyspnea›hyperventilation
Tetany›hyperpnea
Tetany›hyperventilation

Code history

Unchanged in every release from FY2024 to FY2027.