Is J95.6 a billable ICD-10-CM code?

No. J95.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

What cannot be coded together with J95.6?

J95.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

J95.6

J95.6 — Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure

Non-billable headerICD-10-CM

J95.6 is a non-billable header ICD-10-CM code for intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

intraoperative hemorrhage and hematoma of a respiratory system organ or structure due to accidental puncture and laceration during procedure (J95.7-)

Excludes2 inherited from the categories above J95.6

Also inherited, and the opposite of Excludes1: these conditions are not part of J95.6, but a patient can have both, so you may code both.

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)

Risk adjustment

J95.6 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.

Code history

J95.6 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead J95.6

2 child codes. Green means billable.

Related codes at this level

Codes that share J95. If J95.6 is not quite right, the correct code is usually one of these.

Questions about J95.6

Is J95.6 a billable ICD-10-CM code?: No. J95.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J95.6 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).
What cannot be coded together with J95.6?: J95.6 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.