R06.9

R06.9: Unspecified abnormalities of breathing

Billable / specific codeICD-10-CM

R06.9 is a billable, specific ICD-10-CM code for unspecified abnormalities of breathing. It is valid for submission on a claim.

Check R06.9 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R06.9

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)

Risk adjustment

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

Medicare coverage

R06.9 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56425Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
A56697Billing and Coding: Non-Invasive Vascular Studies
A56826Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

Abnormal, abnormality, abnormalities›breathing

Code history

Unchanged in every release from FY2024 to FY2027.