J95.02 — Infection of tracheostomy stoma
J95.02 is a billable, specific ICD-10-CM code for infection of tracheostomy stoma. It is valid for submission on a claim.
Risk adjustment
J95.02 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 211 Respirator Dependence/Tracheostomy Status/Complications0.879 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
J95.02 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52492Tracheostomy Care Supplies - Policy Article
- A52519Suction Pumps - Policy Article
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57224Billing and Coding: Respiratory Care
How J95.02 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J95.02.
- Sepsis›tracheostomy stoma
- Complication›tracheostomy›infection
Related codes at this level
Codes that share J95.0. If J95.02 is not quite right, the correct code is usually one of these.
Questions about J95.02
- Is J95.02 a billable ICD-10-CM code?
- Yes. J95.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J95.02 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (J95).