DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

  • Header · not billable

J95 is not billable. The category heads 32 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

  • TAD (transfusion-associated dyspnea) → J95.87
  • Mendelson's syndrome (due to anesthesia) → J95.4
  • Breakdownrespirator → J95.850

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (J95)
  3. J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
Billable codes
32
Subdivisions
9
CC / MCC codes
27 / 5
HCC V28 codes
9
New FY2027
0
Index entries
78

Codes in J95

  1. J95.0
    Tracheostomy complications
    Header
  2. J95.00
    Unspecified tracheostomy complication
    BillableCC211
  3. J95.01
    Hemorrhage from tracheostomy stoma
    BillableCC211
  4. J95.02
    Infection of tracheostomy stoma
    BillableCC211
    Use additional code 3

    Use additional code

    • code to identify type of infection, such as:
    • cellulitis of neck (L03.221) L03.221
    • sepsis (A40, A41.-) A40 A41
  5. J95.03
    Malfunction of tracheostomy stoma
    BillableCC211
    Inclusion terms 3

    Inclusion terms

    • Mechanical complication of tracheostomy stoma
    • Obstruction of tracheostomy airway
    • Tracheal stenosis due to tracheostomy
  6. J95.04
    Tracheo-esophageal fistula following tracheostomy
    BillableCC211
  7. J95.09
    Other tracheostomy complication
    BillableCC211
  8. J95.1
    Acute pulmonary insufficiency following thoracic surgery
    BillableMCC
    Excludes2 1

    Excludes2

    • Functional disturbances following cardiac surgery (I97.0, I97.1-) I97.0 I97.1
  9. J95.2
    Acute pulmonary insufficiency following nonthoracic surgery
    BillableMCC
    Excludes2 1

    Excludes2

    • Functional disturbances following cardiac surgery (I97.0, I97.1-) I97.0 I97.1
  10. J95.3
    Chronic pulmonary insufficiency following surgery
    BillableMCC
    Excludes2 1

    Excludes2

    • Functional disturbances following cardiac surgery (I97.0, I97.1-) I97.0 I97.1
  11. J95.4
    Chemical pneumonitis due to anesthesia
    BillableCC
    Inclusion terms 2, Excludes1 3, Use additional code 1

    Inclusion terms

    • Mendelson's syndrome
    • Postprocedural aspiration pneumonia

    Excludes1

    • aspiration pneumonitis due to anesthesia complicating labor and delivery (O74.0) O74.0
    • aspiration pneumonitis due to anesthesia complicating pregnancy (O29) O29
    • aspiration pneumonitis due to anesthesia complicating the puerperium (O89.01) O89.01

    Use additional code

    • code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5) T41
  12. J95.5
    Postprocedural subglottic stenosis
    BillableCC
  13. J95.6
    Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure
    Header
    Excludes1 1

    Excludes1

    • intraoperative hemorrhage and hematoma of a respiratory system organ or structure due to accidental puncture and laceration during procedure (J95.7-) J95.7
  14. J95.61
    Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure
    BillableCC
  15. J95.62
    Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure
    BillableCC
  16. J95.7
    Accidental puncture and laceration of a respiratory system organ or structure during a procedure
    Header
    Excludes2 1

    Excludes2

    • postprocedural pneumothorax (J95.811) J95.811
  17. J95.71
    Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure
    BillableCC
  18. J95.72
    Accidental puncture and laceration of a respiratory system organ or structure during other procedure
    BillableCC
  19. J95.8
    Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
    Header
  20. J95.81
    Postprocedural pneumothorax and air leak
    Header
  21. J95.811
    Postprocedural pneumothorax
    BillableCC
  22. J95.812
    Postprocedural air leak
    BillableCC
  23. J95.82
    Postprocedural respiratory failure
    Header
    Excludes2 1

    Excludes2

    • respiratory failure in other conditions (J96.-) J96
  24. J95.821
    Acute postprocedural respiratory failure
    BillableMCC
    Inclusion terms 1

    Inclusion terms

    • Postprocedural respiratory failure NOS
  25. J95.822
    Acute and chronic postprocedural respiratory failure
    BillableMCC
  26. J95.83
    Postprocedural hemorrhage of a respiratory system organ or structure following a procedure
    Header
  27. J95.830
    Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure
    BillableCC
  28. J95.831
    Postprocedural hemorrhage of a respiratory system organ or structure following other procedure
    BillableCC
  29. J95.84
    Transfusion-related acute lung injury (TRALI)
    BillableCC
  30. J95.85
    Complication of respirator [ventilator]
    Header
  31. J95.850
    Mechanical complication of respirator
    BillableCC211
    Excludes1 1

    Excludes1

    • encounter for respirator [ventilator] dependence during power failure (Z99.12) Z99.12
  32. J95.851
    Ventilator associated pneumonia
    BillableCC211
    Inclusion terms 1, Excludes1 1, Use additional code 1

    Inclusion terms

    • Ventilator associated pneumonitis

    Excludes1

    • ventilator lung in newborn (P27.8) P27.8

    Use additional code

    • code to identify the organism, if known (B95.-, B96.-, B97.-) B95 B96 B97
  33. J95.859
    Other complication of respirator [ventilator]
    BillableCC211
  34. J95.86
    Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure
    Header
  35. J95.860
    Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
    BillableCC
  36. J95.861
    Postprocedural hematoma of a respiratory system organ or structure following other procedure
    BillableCC
  37. J95.862
    Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure
    BillableCC
  38. J95.863
    Postprocedural seroma of a respiratory system organ or structure following other procedure
    BillableCC
  39. J95.87
    Transfusion-associated dyspnea (TAD)
    BillableCC
    Excludes1 2

    Excludes1

    • transfusion associated circulatory overload (TACO) (E87.71) E87.71
    • transfusion-related acute lung injury (TRALI) (J95.84) J95.84
  40. J95.88
    Other intraoperative complications of respiratory system, not elsewhere classified
    BillableCC
  41. J95.89
    Other postprocedural complications and disorders of respiratory system, not elsewhere classified
    BillableCC
    Excludes2 2, Use additional code 3

    Excludes2

    • acute pulmonary insufficiency following thoracic surgery (J95.1) J95.1
    • postprocedural subglottic stenosis (J95.5) J95.5

    Use additional code

    • code to identify disorder, such as:
    • aspiration pneumonia (J69.-) J69
    • bacterial or viral pneumonia (J12-J18) J12 J18

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At J95

Excludes2

  • aspiration pneumonia (J69.-) J69
  • emphysema (subcutaneous) resulting from a procedure (T81.82) T81.82
  • hypostatic pneumonia (J18.2) J18.2
  • pulmonary manifestations due to radiation (J70.0-J70.1) J70.0 J70.1

Notes that also apply

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Mendelson's syndrome (due to anesthesia) → J95.4
  • TAD (transfusion-associated dyspnea) → J95.87
  • Complication(s) (from) (of)tracheostomy → J95.00
  • Sepsis (generalized) (unspecified organism)tracheostomy stoma → J95.02
  • Malfunctiontracheostomy → J95.03
  • Obstruction, obstructed, obstructivetracheostomy airway → J95.03
  • Stenosis, stenotic (cicatricial)tracheostomy → J95.03
  • Stoma malfunctiontracheostomy → J95.03
  • Stricturetracheostomy → J95.03
  • Granulomatracheostomy → J95.09
  • Pneumonitis (acute) (primary)postanesthetic → J95.4
  • Pneumonitis (acute) (primary)postoperative → J95.4
  • Pneumothorax NOSpostprocedural → J95.811
  • Injurytransfusion-related acute lung (TRALI) → J95.84
  • Transfusionrelated acute lung injury (TRALI) → J95.84
  • Breakdownrespirator → J95.850
  • Breakdownventilator → J95.850
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)ventilator associated → J95.851
  • Pneumonitis (acute) (primary)ventilator associated → J95.851
  • Dyspnea (nocturnal) (paroxysmal)transfusion-associated [TAD] → J95.87
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)resulting from a procedure → J95.89
  • Complication(s) (from) (of)tracheostomyhemorrhage → J95.01
  • Hemorrhage, hemorrhagic (concealed)fromtracheostomy stoma → J95.01
  • Complication(s) (from) (of)tracheostomyinfection → J95.02
  • Complication(s) (from) (of)tracheostomymalfunction → J95.03
  • Complication(s) (from) (of)tracheostomymechanical → J95.03
  • Complication(s) (from) (of)tracheostomyobstruction → J95.03
  • Stricturestoma (following) (of)tracheostomy → J95.03
  • Tracheostomystatusmalfunctioning → J95.03
  • Complication(s) (from) (of)tracheostomytracheo-esophageal fistula → J95.04
  • Fistula (cutaneous)tracheoesophagealfollowing tracheostomy → J95.04
  • Complication(s) (from) (of)tracheostomygranuloma → J95.09
  • Complication(s) (from) (of)tracheostomyspecified type NEC → J95.09
  • Complication(s) (from) (of)surgical procedure (on)pulmonary insufficiency (acute) → J95.2
  • Insufficiency, insufficientpulmonaryacute, following surgery (nonthoracic) → J95.2
  • Insufficiency, insufficientpulmonarychronic, following surgery → J95.3
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved)aspirationpostprocedural → J95.4
  • Pneumonitis (acute) (primary)chemical (due to gases, fumes or vapors) (inhalation)due to anesthesia → J95.4
  • Complication(s) (from) (of)surgical procedure (on)subglottic stenosis (postsurgical) → J95.5
  • Stenosis, stenotic (cicatricial)subglotticpostprocedural → J95.5

38 more, longer entries are not listed; the search box finds them by word.

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