J95.87

J95.87: Transfusion-associated dyspnea (TAD)

Billable / specific codeICD-10-CM

J95.87 is a billable, specific ICD-10-CM code for transfusion-associated dyspnea (tad). It is valid for submission on a claim.

Check J95.87 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

transfusion associated circulatory overload (TACO) (E87.71)
transfusion-related acute lung injury (TRALI) (J95.84)

Excludes2 inherited from the categories above J95.87

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

J95.87 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56625Billing and Coding: Echocardiography
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A56758Billing and Coding: Non-Invasive Vascular Studies

Alphabetic index entries that lead here

TAD(transfusion-associated dyspnea)
Dyspnea›transfusion-associated [TAD]

Code history

Unchanged in every release from FY2024 to FY2027.