Respiratory Failure

Prior to October 1, 1998, code 518.81, Respiratory failure, encompassed acute, chronic, and acute and chronic respiratory failure in a single code. Code 518.81 has been revised to uniquely identify acute respiratory failure and respiratory failure NOS only. New codes have been created to separately classify chronic respiratory failure (518.83), and acute and chronic respiratory failure (518.84). For previous examples on the coding and sequencing of respiratory failure, please refer to the following Coding Clinic citations: First Quarter 1993, page 25 Third Quarter 1991, page 14 Second Quarter 1991, pages 3-4 Fourth Quarter 1990, page...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a brief coding update for respiratory failure that explains how classification changed over time and cites earlier Coding Clinic references for readers who want additional background. It is relevant to coders, CDI staff, and reimbursement professionals who need to understand the historical context of respiratory failure coding and sequencing guidance.

Why This Topic Matters

Respiratory failure coding has changed across reporting periods, and understanding the historical classification helps users interpret older records, compare documentation across time, and locate related Coding Clinic discussions.

What You Will Learn

  • How the article frames historical changes in respiratory failure classification
  • Which prior Coding Clinic references are cited for additional context
  • What general coding topic the update addresses
  • How the article situates respiratory failure within coding history

Who Should Read This

  • Medical coders
  • Clinical documentation integrity specialists
  • Coding educators
  • Revenue cycle staff
  • Compliance professionals

Codes Discussed

  • ICD-9-CM: 518.81
  • ICD-9-CM: 518.83
  • ICD-9-CM: 518.84

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