J95.5

J95.5: Postprocedural subglottic stenosis

Billable / specific codeICD-10-CM

J95.5 is a billable, specific ICD-10-CM code for postprocedural subglottic stenosis. It is valid for submission on a claim.

Check J95.5 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above J95.5

Not part of this code, but both may be coded when both are present.

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

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

Other codes that can never be billed with J95.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

J38Diseases of vocal cords and larynx, not elsewhere classified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J95.5 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

Complication›surgical procedure›subglottic stenosis(postsurgical)
Stenosis, stenotic›subglottic›postprocedural
Complication›respiratory system›postoperative›subglottic stenosis

Code history

Unchanged in every release from FY2024 to FY2027.