J95.3 — Chronic pulmonary insufficiency following surgery
J95.3 is a billable, specific ICD-10-CM code for chronic pulmonary insufficiency following surgery. It is valid for submission on a claim.
Risk adjustment
J95.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
J95.3 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625Billing and Coding: Echocardiography
- A56625Billing and Coding: Echocardiography
How J95.3 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 J95.3.
- Insufficiency, insufficient›pulmonary›chronic, following surgery
- Complication›surgical procedure›pulmonary insufficiency›chronic
- Complication›respiratory system›postoperative›pulmonary insufficiency›chronic
Related codes at this level
Codes that share J95. If J95.3 is not quite right, the correct code is usually one of these.
- J95.0Tracheostomy complications
- J95.1Acute pulmonary insufficiency following thoracic surgery
- J95.2Acute pulmonary insufficiency following nonthoracic surgery
- J95.4Chemical pneumonitis due to anesthesia
- J95.5Postprocedural subglottic stenosis
- J95.6Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure
- J95.7Accidental puncture and laceration of a respiratory system organ or structure during a procedure
- J95.8Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
Questions about J95.3
- Is J95.3 a billable ICD-10-CM code?
- Yes. J95.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J95.3 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).