Is J95.863 a billable ICD-10-CM code?

Yes. J95.863 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J95.863 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).

J95.863

J95.863 — Postprocedural seroma of a respiratory system organ or structure following other procedure

Billable / specific codeICD-10-CM

J95.863 is a billable, specific ICD-10-CM code for postprocedural seroma of a respiratory system organ or structure following other procedure. It is valid for submission on a claim.

Risk adjustment

J95.863 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

J95.863 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How J95.863 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 J95.863.

Complication›postprocedural›seroma›respiratory system›following other procedure

Related codes at this level

Codes that share J95.86. If J95.863 is not quite right, the correct code is usually one of these.

Questions about J95.863

Is J95.863 a billable ICD-10-CM code?: Yes. J95.863 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J95.863 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).