ICD-10 J06.9
Billable / SpecificAcute upper respiratory infection, unspecified
About ICD-10-CM J06.9
ICD-10-CM code J06.9 represents Acute upper respiratory infection, unspecified. This is a billable/specific code in the Respiratory System chapter (block J06). The 2026 edition of ICD-10-CM J06.9 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under J06.9. Per CMS ICD-10-CM Tabular 2026.
- Upper respiratory disease, acute
- Upper respiratory infection NOS
Use Additional Code
When coding J06.9, also report these additional codes when applicable.
- code (B95-B97) to identify infectious agent, if known, such as:
- respiratory syncytial virus (RSV) (B97.4)
Medicare LCD Coverage for J06.9
Local Coverage Determinations (LCDs) from CMS MACs that list J06.9 as a covered diagnosis.
Showing top 10 of 595 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J06.9.
5 Medicare
1 Aetna
CPT Codes Commonly Billed with J06.9
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 99202 New patient office visit — fever, headache, abdominal pain, cough, dyspnea, fatigue, dizziness, limb pain, nausea, routine exam, URI, UTI, pharyngitis, otitis, chest pain, weight loss Primary Care
- 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
- 99212 Established patient — URI, UTI, pharyngitis, otitis, dermatitis, rash, viral infection, cellulitis, conjunctivitis, sinusitis, bronchitis, ankle sprain Primary Care
- 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
- 99281 ED visit level 1 — fever, cough, URI, abdominal pain, dizziness, laceration, ankle sprain, nausea, minor injury Emergency Medicine
- 99282 ED visit level 2 — same as level 1 with low complexity MDM Emergency Medicine
Convert J06.9 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| J06.9 | 4658 | 10000 |
| J06.9 | 4659 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To J06.9
Other codes in section J00-J06 (Acute upper respiratory infections).
ICD-10 J06.9, Billing FAQ
Is ICD-10 code J06.9 billable? +
Yes, J06.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to J06.9? +
ICD-10 J06.9 includes: Upper respiratory disease, acute; Upper respiratory infection NOS.
What CPT codes are commonly billed with J06.9? +
Procedures frequently paired with J06.9 include: 99202, 99203, 99212, 99213, 99281.
What ICD-9 codes does J06.9 map to? +
Per CMS GEMs, J06.9 maps to ICD-9 codes: 4658, 4659. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on August 30, 2026.
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