AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 1; Ask the Editor
Acute Upper and Lower Respiratory Infection
The patient was admitted and diagnosed with both acute upper and acute lower respiratory infection. The upper respiratory infection is assigned to code J06.9, Acute upper respiratory infection, unspecified. The lower respiratory infection is assigned to code J22, Unspecified acute lower respiratory infection. Category J06 excludes “acute respiratory infection NOS (J22),” and code J22 excludes “upper respiratory infection (acute) (J06.9).” When the patient has both an unspecified acute upper and acute lower respiratory infection, what code is assigned since the code assignments are mutually exclusive? ...
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Article Overview
This premium article focuses on coding guidance for acute respiratory infection diagnoses, with emphasis on the distinction between upper and lower respiratory infection categories in ICD-10-CM. It is useful for coders, billing staff, auditors, and clinical documentation teams who work with respiratory diagnosis documentation and need to understand how the article frames the relevant categories and exclusions.
Why This Topic Matters
Respiratory infection documentation can affect diagnosis selection and claim accuracy. This article helps readers understand the scope of the ICD-10-CM guidance discussed in the premium content without exposing the full coding analysis.
What You Will Learn
- How acute respiratory infection documentation is organized in ICD-10-CM
- How upper and lower respiratory infection categories are discussed in the article
- What types of coding guidance and exclusions are addressed at a high level
- How the article frames the relationship between related respiratory diagnosis categories
Who Should Read This
- Medical coders
- Coding auditors
- Billing professionals
- Clinical documentation specialists
- Revenue cycle staff
Codes Discussed
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