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J06.9

Billable

Acute upper respiratory infection, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A general acute infection of the upper respiratory tract (nose, throat, sinuses) without a more specific diagnosis.

Coding Tips

  • This is a non-specific code; use only when the specific site of infection cannot be determined from documentation
  • Review documentation carefully to see if a more specific upper respiratory code (J00-J06.0) applies

Use Additional Code

  • code (B95-B97) to identify infectious agent, if known, such as:
  • respiratory syncytial virus (RSV) (B97.4)

Code Hierarchy

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