J95.811
J95.811: Postprocedural pneumothorax
Billable / specific codeICD-10-CM
J95.811 is a billable, specific ICD-10-CM code for postprocedural pneumothorax. It is valid for submission on a claim.
Check J95.811 with the rest of the claim: free scrubberExcludes2 inherited from the categories above J95.811
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with J95.811
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J93Pneumothorax and air leak
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J95.811 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Pneumothorax NOS›postprocedural
- Complication›respiratory system›postoperative›pneumothorax
Code history
Unchanged in every release from FY2024 to FY2027.