J95.89 — Other postprocedural complications and disorders of respiratory system, not elsewhere classified
J95.89 is a billable, specific ICD-10-CM code for other postprocedural complications and disorders of respiratory system, not elsewhere classified. It is valid for submission on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
Risk adjustment
J95.89 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
J95.89 is named in 4 Medicare coverage policies — 4 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)
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
How J95.89 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 J95.89.
- Pneumonia›resulting from a procedure
- Complication›respiratory system›postoperative
- Complication›postprocedural›specified NEC›respiratory system
- Complication›respiratory system›postoperative›specified NEC
Related codes at this level
Codes that share J95.8. If J95.89 is not quite right, the correct code is usually one of these.
- J95.81Postprocedural pneumothorax and air leak
- J95.82Postprocedural respiratory failure
- J95.83Postprocedural hemorrhage of a respiratory system organ or structure following a procedure
- J95.84Transfusion-related acute lung injury (TRALI)
- J95.85Complication of respirator [ventilator]
- J95.86Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure
- J95.87Transfusion-associated dyspnea (TAD)
- J95.88Other intraoperative complications of respiratory system, not elsewhere classified
Questions about J95.89
- Is J95.89 a billable ICD-10-CM code?
- Yes. J95.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J95.89 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).