J95.860

J95.860: Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure

Billable / specific codeICD-10-CM

J95.860 is a billable, specific ICD-10-CM code for postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure. It is valid for submission on a claim.

Check J95.860 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above J95.860

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.

Medicare coverage

J95.860 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)
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A56775Billing and Coding: Magnetic Resonance Angiography

Alphabetic index entries that lead here

Complication›postprocedural›hematoma›respiratory system›following procedure on respiratory system organ or structure

Code history

Unchanged in every release from FY2024 to FY2027.