MCMedicalCodingSoftware
J95.86

J95.86: Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure

Non-billable headerICD-10-CM

J95.86 is a non-billable header ICD-10-CM code for postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 inherited from the categories above J95.86

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)

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 J95.86

4 child codes. Green means billable.

Other codes under J95.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.