ICD-10 Code J96.1 – Chronic respiratory failure (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code J96.1 – Chronic respiratory failure
What it is
J96.1 identifies chronic respiratory failure, a long-term condition where the lungs do not adequately exchange oxygen and/or carbon dioxide. Use it when documentation clearly states chronic respiratory failure.
Clinical signs
Clinical features vary; refer to documentation. Commonly recorded findings include persistent dyspnea, hypoxemia, hypercapnia, or need for chronic ventilatory support.
When to use this code
Use J96.1 when the provider diagnoses chronic respiratory failure, including chronic hypoxemic or hypercapnic respiratory failure. Code it from the assessment, discharge summary, or problem list when the chronic condition is clearly documented. If the record only says respiratory distress or shortness of breath, do not assume this diagnosis.
Do not use for
Do not use J96.1 for acute respiratory failure, respiratory distress, or nonspecific breathing difficulty without chronic respiratory failure documented. Check documentation if the type or acuity is unclear.
Coding tip
Assign J96.1 only when the provider states chronic respiratory failure, and query if the record does not specify chronicity or type.