ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R06.03

Billable / Specific

Acute respiratory distress

R06
Block
0
Synonyms
813
LCDs
27
Payer Policies
1
Linked CPTs

About ICD-10-CM R06.03

ICD-10-CM code R06.03 represents Acute respiratory distress. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R06). The 2026 edition of ICD-10-CM R06.03 became effective on October 1, 2025.

Medicare LCD Coverage for R06.03

Local Coverage Determinations (LCDs) from CMS MACs that list R06.03 as a covered diagnosis.

813 LCDs

Showing top 10 of 813 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R06.03.

27 policies

2 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
Policy ID: ART-56605
Billing and Coding: Echocardiography
Policy ID: ART-56625
Billing and Coding: Respiratory Therapy (Respiratory Care)
Policy ID: ART-56717
Billing and Coding: Respiratory Therapy and Oximetry Services
Policy ID: ART-56730

CPT Codes Commonly Billed with R06.03

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 94660 CPAP initiation — acute/chronic respiratory failure, sleep apnea, COPD exacerbation, severe asthma, dyspnea, apnea, obesity hypoventilation Pulmonology

ICD-10 R06.03, Billing FAQ

Is ICD-10 code R06.03 billable? +

Yes, R06.03 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with R06.03? +

Procedures frequently paired with R06.03 include: 94660.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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