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v1.0.0
ICD-10 Guide
ICD-10 CodesR09.2

R09.2

Respiratory arrest

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R09.2 is a billable code used to indicate a diagnosis of respiratory arrest.

Key Diagnostic Point:

Respiratory arrest is a critical condition characterized by the cessation of breathing, leading to a lack of oxygenation and potential brain damage or death if not promptly addressed. It can occur due to various underlying causes, including airway obstruction, central nervous system disorders, drug overdose, or severe respiratory diseases. Symptoms may include unresponsiveness, cyanosis (bluish discoloration of the skin), and absence of breath sounds. Clinical findings may reveal altered mental status, bradycardia, or hypotension. Laboratory findings may include arterial blood gas abnormalities, such as hypoxemia (low oxygen levels) and hypercapnia (elevated carbon dioxide levels). Immediate intervention is crucial, often requiring resuscitation efforts such as cardiopulmonary resuscitation (CPR) and advanced airway management. The prognosis depends on the duration of the arrest and the timeliness of medical intervention.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying causes requiring thorough investigation
  • Need for immediate and accurate documentation of clinical findings
  • Potential for multiple concurrent diagnoses
  • Variability in presentation and response to treatment

Audit Risk Factors

  • Inadequate documentation of the cause of respiratory arrest
  • Failure to document the interventions performed
  • Misclassification of respiratory arrest as a less severe condition
  • Lack of clarity in the patient's clinical status prior to arrest

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of the patient's history, physical examination findings, and any diagnostic tests performed.

Common Clinical Scenarios

Patients with chronic respiratory diseases, such as COPD or asthma, experiencing acute exacerbations leading to respiratory arrest.

Billing Considerations

Ensure that all contributing factors, such as medication history and comorbidities, are documented to support the diagnosis.

Emergency Medicine

Documentation Requirements

Immediate and thorough documentation of the patient's presentation, interventions, and response to treatment.

Common Clinical Scenarios

Acute respiratory failure due to trauma, overdose, or severe infection requiring rapid resuscitation.

Billing Considerations

Document the timeline of events and interventions clearly to support the urgency of the diagnosis.

Coding Guidelines

Inclusion Criteria

Use R09.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant co
  • existing conditions and interventions performed

Exclusion Criteria

Do NOT use R09.2 When
No specific exclusions found.

Related CPT Codes

92950CPT Code

Cardiopulmonary resuscitation (CPR)

Clinical Scenario

Used in conjunction with R09.2 when resuscitation efforts are documented.

Documentation Requirements

Document the time of arrest, interventions performed, and patient response.

Specialty Considerations

Emergency medicine specialists must ensure accurate timing and details of resuscitation efforts.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of respiratory conditions, improving the accuracy of data collection and reimbursement processes. R09.2 provides a clear designation for respiratory arrest, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of respiratory conditions, improving the accuracy of data collection and reimbursement processes. R09.2 provides a clear designation for respiratory arrest, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. R09.2 provides a clear designation for respiratory arrest, which was less defined in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between respiratory arrest and respiratory failure?

Respiratory arrest refers to the complete cessation of breathing, while respiratory failure indicates inadequate gas exchange, which may still involve some respiratory effort. Accurate documentation is essential to differentiate between the two for coding purposes.