J95.89

J95.89: Other postprocedural complications and disorders of respiratory system, not elsewhere classified

Billable / specific codeICD-10-CM

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.

Check J95.89 with the rest of the claim: free scrubber

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.

acute pulmonary insufficiency following thoracic surgery (J95.1)
postprocedural subglottic stenosis (J95.5)

Use additional code

Add a secondary code to capture the detail described below.

code to identify disorder, such as:
aspiration pneumonia (J69.-)
bacterial or viral pneumonia (J12-J18)

Excludes2 inherited from the categories above J95.89

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

J95.89 is named in 4 Medicare coverage policies: 4 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)
A57205Billing and Coding: Oximetry Services
A57224Billing and Coding: Respiratory Care

Alphabetic index entries that lead here

Pneumonia›resulting from a procedure
Complication›respiratory system›postoperative
Complication›postprocedural›specified NEC›respiratory system
Complication›respiratory system›postoperative›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.