J80 Acute respiratory distress syndrome

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Acute respiratory distress syndrome in adult or child
• Adult hyaline membrane disease

Excludes1 (never code together)

• respiratory distress syndrome in newborn (perinatal) (P22.0)

Applies from J80 Acute respiratory distress syndrome

Applicable to

• Acute respiratory distress syndrome in adult or child
• Adult hyaline membrane disease

Excludes1 (never code together)

• respiratory distress syndrome in newborn (perinatal) (P22.0)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 213 — Cardio-Respiratory Failure and Shock
• CMS-HCC V22: HCC 84 — Cardio-Respiratory Failure and Shock
• ESRD V24: HCC 84

MS-DRG index

Defines the logic of DRG(s) 189 in MDC 04.

Approximate ICD-9-CM (GEMs)

• 518.82 Other pulmonary insufficiency, not elsewhere classified (approximate)

Code annotations containing back-references to J80

Back-references to J80

• Code Also: E20.810 Autosomal dominant hypocalcemia ("respiratory distress (J80, R06.-)")
• Type 1 Excludes: J96 Respiratory failure, not elsewhere classified ("acute respiratory distress syndrome (J80)")
• Use Additional: M31.11 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA] ("acute respiratory distress syndrome (J80)")
• Code Also: M35.81 Multisystem inflammatory syndrome ("acute respiratory distress syndrome (J80)")
• Type 1 Excludes: R06 Abnormalities of breathing ("acute respiratory distress syndrome (J80)")
• Type 1 Excludes: R09 Other symptoms and signs involving the circulatory and respiratory system ("acute respiratory distress syndrome (J80)")
• Type 1 Excludes: T71 Asphyxiation ("acute respiratory distress (syndrome) (J80)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("acute respiratory distress syndrome (J80)")
• Use Additional: U07.0 Vaping-related disorder ("acute respiratory distress syndrome (J80)")

Back-references to J80

• Code Also: E20.810 Autosomal dominant hypocalcemia ("respiratory distress (J80, R06.-)")
• Type 1 Excludes: J96 Respiratory failure, not elsewhere classified ("acute respiratory distress syndrome (J80)")
• Use Additional: M31.11 Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA] ("acute respiratory distress syndrome (J80)")
• Code Also: M35.81 Multisystem inflammatory syndrome ("acute respiratory distress syndrome (J80)")
• Type 1 Excludes: R06 Abnormalities of breathing ("acute respiratory distress syndrome (J80)")
• Type 1 Excludes: R09 Other symptoms and signs involving the circulatory and respiratory system ("acute respiratory distress syndrome (J80)")
• Type 1 Excludes: T71 Asphyxiation ("acute respiratory distress (syndrome) (J80)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("acute respiratory distress syndrome (J80)")
• Use Additional: U07.0 Vaping-related disorder ("acute respiratory distress syndrome (J80)")

Diagnosis Index entries for J80

• Disease, diseased › hyaline (diffuse) (generalized) › membrane (lung) (newborn) › adult
• Distress › acute respiratory › syndrome (adult) (child)
• Shock › lung
• Syndrome › acute respiratory distress (adult) (child)
• Syndrome › respiratory › distress › acute
• Syndrome › respiratory › distress › acute › adult
• Syndrome › respiratory › distress › acute › child
• Syndrome › shock-lung

Nearby codes

• J80 Acute respiratory distress syndrome (this code)