J22BillableSave

J22 - Unspecified acute lower respiratory infection

ICD-10-CM Chapter 10: Diseases of the respiratory system · J20-J22 Other acute lower respiratory infections (J20-J22) · Top-level category · FY2027

Applicable To

Inclusion terms listed under J22 in the ICD-10-CM tabular list.

  • Acute (lower) respiratory (tract) infection NOS

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom J22

Mutually exclusive: these conditions are never reported together with this code.

  • upper respiratory infection (acute) (J06.9)
Excludes 2 — Not Included HereFrom J20-J22 Other acute lower respiratory infections (J20-J22)

Not part of this code; report both codes when the patient has both conditions.

  • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
Excludes 2 — Not Included HereFrom Chapter J00-J99

Not part of this code; report both codes when the patient has both conditions.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional CodeFrom Chapter J00-J99

Add a secondary code to identify the associated condition or cause when it is documented.

  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
NotesFrom Chapter J00-J99

Instructional notes from the ICD-10-CM tabular list.

  • 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).

Inpatient DRG Payments

DRG 20510,485 discharges

Other Respiratory System Diagnoses With Mcc

Avg. Medicare Payment

$15,406

Total Payment$19,109
Patient Responsibility$3,703
Hospital Charge$88,362
DRG 2066,731 discharges

Other Respiratory System Diagnoses Without Mcc

Avg. Medicare Payment

$7,328

Total Payment$9,642
Patient Responsibility$2,314
Hospital Charge$49,308

Documentation requirements, coding pitfalls and FAQs for conditions coded with J22.