Acute respiratory distress syndrome
In Other respiratory diseases principally affecting the interstitium (J80-J84), chapter 10: Diseases of the Respiratory System
- J80 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under J80-J84 below.
- As a secondary diagnosis it is an MCC (major complication), which can raise the MS-DRG payment. It doesn't count when the principal diagnosis is one of 22 closely related codes.
- Counts toward HCC 213 (Cardio-Respiratory Failure and Shock) in the Medicare Advantage risk model (CMS-HCC V28).
- AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
- 1,680 US deaths in 2024 had an underlying cause in category J80, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.
Also indexed as: Disease, hyaline, membrane, adult; Distress, acute respiratory, syndrome; Shock, lung; Syndrome, acute respiratory distress; Syndrome, respiratory, distress, acute; Syndrome, respiratory, distress, acute, adult; Syndrome, respiratory, distress, acute, child; Syndrome, shock-lung
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Instructional notes
Includes: conditions that are coded here
- Acute respiratory distress syndrome in adult or child
- Adult hyaline membrane disease
Excludes1: not coded here, use a different code
- respiratory distress syndrome in newborn (perinatal) (P22.0)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers COPD and asthma exacerbations, sequencing of acute respiratory failure, confirmed versus suspected identified influenza, ventilator associated pneumonia, and vaping-related disorders.
- Chronic Obstructive Pulmonary Disease [COPD] and Asthma (page 56)
- Acute Respiratory Failure (page 56)
- Influenza due to certain identified influenza viruses (page 57)
- Ventilator associated Pneumonia (page 57)
- Vaping-related disorders (page 58)
Other codes under J80-J84
Other respiratory diseases principally affecting the interstitium (J80-J84)
- J80Acute respiratory distress syndrome(this code)
- J81Pulmonary edema
- J82Pulmonary eosinophilia, not elsewhere classified
- J84Other interstitial pulmonary diseases
J80 MS-DRG
As the principal diagnosis, J80 groups to MS-DRG 189 (v44.0).
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
J80 is in Respiratory failure; insufficiency; arrest (RSP012, its default category), with 16 codes. Others in it:
- J95.821 Acute postprocedural respiratory failure
- J95.822 Acute and chronic postprocedural respiratory failure
- J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
- J96.01 Acute respiratory failure with hypoxia
- J96.02 Acute respiratory failure with hypercapnia
- J96.10 Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
- J96.11 Chronic respiratory failure with hypoxia
- J96.12 Chronic respiratory failure with hypercapnia
Medicare coverage articles listing J80
These 12 Medicare billing and coding articles list J80 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.
- Transthoracic Echocardiography (TTE) (2 contractors)
- Cardiac Catheterization and Coronary Angiography
- Cardiac Radionuclide Imaging
- Computerized Axial Tomography (CT), Thorax
- Echocardiography
- Electrocardiograms
- Monitored Anesthesia Care
- Noninvasive Ear or Pulse Oximetry For Oxygen Saturation
- Oximetry Services
- Respiratory Care
And 2 more.
Other codes that refer to J80
Notes on these codes point to J80.
- E20.810 Code Also: respiratory distress (J80, R06.-)
- J96 Excludes1: acute respiratory distress syndrome (J80)
- M31.11 Use Additional Code: acute respiratory distress syndrome (J80)
- M35.81 Code Also: acute respiratory distress syndrome (J80)
- R06 Excludes1: acute respiratory distress syndrome (J80)
- R09 Excludes1: acute respiratory distress syndrome (J80)
- T71 Excludes1: acute respiratory distress (syndrome) (J80)
- T79 Excludes2: acute respiratory distress syndrome (J80)
- U07.0 Use Additional Code: acute respiratory distress syndrome (J80)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Respiratory Failure
Respiratory failure is a condition in which your blood doesn't have enough oxygen or has too much carbon dioxide. Sometimes you can have both problems.
Read more about respiratory failure on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 518.82 Other pulmonary insufficiency, not elsewhere classified (approximate)