ICD-10 · PDGM grouping
J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
All 32 codes in the J95 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
32
Can lead a claim
31
Cannot lead a claim
1
What CMS assigns to J95
31 of the 32 codes group to MMTA - Respiratory (26) and Complex Nursing Interventions (5); 1 is assigned no clinical group. None of the 32 is assigned a comorbidity subgroup. 31 of the 32 can lead a claim.
Every code in J95
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| J95.0 Tracheostomy complications | ||||
| J95.00 | Unspecified tracheostomy complication | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| J95.01 | Hemorrhage from tracheostomy stoma | Can lead a claim | D | None |
| J95.02 | Infection of tracheostomy stoma | Can lead a claim | D | None |
| J95.03 | Malfunction of tracheostomy stoma | Can lead a claim | D | None |
| J95.04 | Tracheo-esophageal fistula following tracheostomy | Can lead a claim | D | None |
| J95.09 | Other tracheostomy complication | Can lead a claim | D | None |
| J95.1 | Acute pulmonary insufficiency following thoracic surgery | Can lead a claim | L | None |
| J95.2 | Acute pulmonary insufficiency following nonthoracic surgery | Can lead a claim | L | None |
| J95.3 | Chronic pulmonary insufficiency following surgery | Can lead a claim | L | None |
| J95.4 | Chemical pneumonitis due to anesthesia | Can lead a claim | L | None |
| J95.5 | Postprocedural subglottic stenosis | Can lead a claim | L | None |
| J95.6 Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure | ||||
| J95.61 | Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedureCMS: Intraop hemor/hemtom of a resp sys org comp resp sys proc | Can lead a claim | L | None |
| J95.62 | Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedureCMS: Intraop hemor/hemtom of a resp sys org comp oth procedure | Can lead a claim | L | None |
| J95.7 Accidental puncture and laceration of a respiratory system organ or structure during a procedure | ||||
| J95.71 | Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedureCMS: Accidental pnctr & lac of a resp sys org dur resp sys proc | Can lead a claim | L | None |
| J95.72 | Accidental puncture and laceration of a respiratory system organ or structure during other procedureCMS: Acc pnctr & lac of a resp sys org during oth procedure | Can lead a claim | L | None |
| J95.8 Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified | ||||
| J95.81 Postprocedural pneumothorax and air leak | ||||
| J95.811 | Postprocedural pneumothorax | Can lead a claim | L | None |
| J95.812 | Postprocedural air leak | Can lead a claim | L | None |
| J95.82 Postprocedural respiratory failure | ||||
| J95.821 | Acute postprocedural respiratory failure | Can lead a claim | L | None |
| J95.822 | Acute and chronic postprocedural respiratory failure | Can lead a claim | L | None |
| J95.83 Postprocedural hemorrhage of a respiratory system organ or structure following a procedure | ||||
| J95.830 | Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedureCMS: Postproc hemor of a resp sys org fol a resp sys procedure | Can lead a claim | L | None |
| J95.831 | Postprocedural hemorrhage of a respiratory system organ or structure following other procedureCMS: Postproc hemor of a resp sys org following other procedure | Can lead a claim | L | None |
| J95.84 | Transfusion-related acute lung injury (TRALI) | Can lead a claim | L | None |
| J95.85 Complication of respirator [ventilator] | ||||
| J95.850 | Mechanical complication of respirator | Can lead a claim | L | None |
| J95.851 | Ventilator associated pneumonia | Can lead a claim | L | None |
| J95.859 | Other complication of respirator [ventilator] | Can lead a claim | L | None |
| J95.86 Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure | ||||
| J95.860 | Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedureCMS: Postproc hematoma of a resp sys org fol a resp sys procedure | Can lead a claim | L | None |
| J95.861 | Postprocedural hematoma of a respiratory system organ or structure following other procedureCMS: Postproc hematoma of a resp sys org fol other procedure | Can lead a claim | L | None |
| J95.862 | Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedureCMS: Postproc seroma of a resp sys org fol a resp sys procedure | Can lead a claim | L | None |
| J95.863 | Postprocedural seroma of a respiratory system organ or structure following other procedureCMS: Postproc seroma of a resp sys org following other procedure | Can lead a claim | L | None |
| J95.87 | Transfusion-associated dyspnea (TAD) | Can lead a claim | L | None |
| J95.88 | Other intraoperative complications of respiratory system, not elsewhere classifiedCMS: Oth intraoperative complications of respiratory system, NEC | Can lead a claim | L | None |
| J95.89 | Other postprocedural complications and disorders of respiratory system, not elsewhere classifiedCMS: Oth postproc complications and disorders of resp sys, NEC | Can lead a claim | L | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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