All ICD10 Codes
J95Not billable, use a more specific code below

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

chapter 10: Diseases of the Respiratory System

32 billable codes under J95: 5 are an MCC, 27 are a CC; 9 map to HCC 211 (Respirator Dependence/Tracheostomy Status/Complications).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Excludes2: not included here, code separately if applicable

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

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.

Read Section I.C.10 (page 56)

All codes under J95

J95 can't be used on a claim. Pick a billable code below; grey headings group them.

J95 MS-DRGs

As the principal diagnosis, the billable codes under J95 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to J95

Notes on these codes point to J95.

  • T81 Excludes2: intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.