Is J95.61 a billable ICD-10-CM code?

Yes. J95.61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

What cannot be coded together with J95.61?

J95.61 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above J95.61 (J95.6) and apply to it just the same.

J95.61

J95.61 — Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure

Billable / specific codeICD-10-CM

J95.61 is a billable, specific ICD-10-CM code for intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure. It is valid for submission on a claim.

Excludes1 inherited from the categories above J95.61

These are not written on J95.61, but they bind it: a note on a category applies to every code beneath it. Billing J95.61 with anything listed here is a denial.

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

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 J95.61

Also inherited, and the opposite of Excludes1: these conditions are not part of J95.61, 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

J95.61 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

J95.61 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How J95.61 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 J95.61.

Complication›intraoperative›hemorrhage›respiratory system›during procedure on respiratory system organ or structure

Code history

J95.61 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share J95.6. If J95.61 is not quite right, the correct code is usually one of these.

J95.62Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure

Questions about J95.61

Is J95.61 a billable ICD-10-CM code?: Yes. J95.61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J95.61 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 J95.61?: J95.61 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above J95.61 (J95.6) and apply to it just the same.