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.
Check J95.02 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
Excludes2 inherited from the categories above J95.02
Not part of this code, but both may be coded when both are present.
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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
J95.02 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52492Tracheostomy Care Supplies - Policy Article
- A52519Suction Pumps - Policy Article
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Sepsis›tracheostomy stoma
- Complication›tracheostomy›infection
Code history
Unchanged in every release from FY2024 to FY2027.