J95.7

J95.7: Accidental puncture and laceration of a respiratory system organ or structure during a procedure

Non-billable headerICD-10-CM

J95.7 is a non-billable header ICD-10-CM code for accidental puncture and laceration of a respiratory system organ or structure during a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

postprocedural pneumothorax (J95.811)

Excludes2 inherited from the categories above J95.7

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 J95.7

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

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

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead J95.7

2 child codes. Green means billable.