FY2027 ICD-10-CM reference
J96.02: Acute respiratory failure with hypercapnia
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Acute respiratory failure with hypercapnia. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Instructional note
When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
Source: J00-J99 (chapter, inherited).
Instructional note
code, where applicable, to identify:
Source: J00-J99 (chapter, inherited).
Instructional note
exposure to environmental tobacco smoke (Z77.22)
Source: J00-J99 (chapter, inherited).
Instructional note
exposure to tobacco smoke in the perinatal period (P96.81)
Source: J00-J99 (chapter, inherited).
Instructional note
history of tobacco dependence (Z87.891)
Source: J00-J99 (chapter, inherited).
Instructional note
occupational exposure to environmental tobacco smoke (Z57.31)
Source: J00-J99 (chapter, inherited).
Instructional note
tobacco dependence (F17.-)
Source: J00-J99 (chapter, inherited).
Instructional note
tobacco use (Z72.0)
Source: J00-J99 (chapter, inherited).
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: J00-J99 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: J00-J99 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: J00-J99 (chapter, inherited).
Excludes2
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
Source: J00-J99 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: J00-J99 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: J00-J99 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: J00-J99 (chapter, inherited).
Excludes2
smoke inhalation (T59.81-)
Source: J00-J99 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: J00-J99 (chapter, inherited).
Excludes1
acute respiratory distress syndrome (J80)
Source: J96 (category, inherited).
Excludes1
cardiorespiratory failure (R09.2)
Source: J96 (category, inherited).
Excludes1
newborn respiratory distress syndrome (P22.0)
Source: J96 (category, inherited).
Excludes1
postprocedural respiratory failure (J95.82-)
Source: J96 (category, inherited).
Excludes1
respiratory arrest (R09.2)
Source: J96 (category, inherited).
Excludes1
respiratory arrest of newborn (P28.81)
Source: J96 (category, inherited).
Excludes1
respiratory failure of newborn (P28.5)
Source: J96 (category, inherited).
Instructional note
Acute respiratory acidosis
Source: J96.02 (self, direct).
Compare the FY2027 additions, removals and billable-status changes
What does J96.02 mean in FY2027?
The official ICD-10-CM descriptor is Acute respiratory failure with hypercapnia. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is J96.02 billable in FY2027?
The FY2027 order file marks J96.02 as billable. Check the complete Tabular instructions and documentation before assigning it.
Does J96.02 map to an HCC?
In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), J96.02 maps to CMS-HCC V28 HCC 213 (Cardio-Respiratory Failure and Shock). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: ESRD HCC 84; no RxHCC category. Coefficients for these models are pending verification for payment year 2027. CMS-HCC V24, PACE and HHS-HCC mappings are still pending verification for FY2027.
Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.
Review the FY2026 April edition