ICD-10 · PDGM grouping

J95-J95 — Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

32

No clinical group

1

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

26 of the 32 codes in J95-J95 group to MMTA - Respiratory, but the range is not uniform — it spreads across 2 clinical groups. A further 1 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in J95-J95

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
J9500Unspecified tracheostomy complicationNoneCannot group
J9501Hemorrhage from tracheostomy stomaDAccepted
J9502Infection of tracheostomy stomaDAccepted
J9503Malfunction of tracheostomy stomaDAccepted
J9504Tracheo-esophageal fistula following tracheostomyDAccepted
J9509Other tracheostomy complicationDAccepted
J951Acute pulmonary insufficiency following thoracic surgeryLAccepted
J952Acute pulmonary insufficiency following nonthoracic surgeryLAccepted
J953Chronic pulmonary insufficiency following surgeryLAccepted
J954Chemical pneumonitis due to anesthesiaLAccepted
J955Postprocedural subglottic stenosisLAccepted
J9561Intraop hemor/hemtom of a resp sys org comp resp sys procLAccepted
J9562Intraop hemor/hemtom of a resp sys org comp oth procedureLAccepted
J9571Accidental pnctr & lac of a resp sys org dur resp sys procLAccepted
J9572Acc pnctr & lac of a resp sys org during oth procedureLAccepted
J95811Postprocedural pneumothoraxLAccepted
J95812Postprocedural air leakLAccepted
J95821Acute postprocedural respiratory failureLAccepted
J95822Acute and chronic postprocedural respiratory failureLAccepted
J95830Postproc hemor of a resp sys org fol a resp sys procedureLAccepted
J95831Postproc hemor of a resp sys org following other procedureLAccepted
J9584Transfusion-related acute lung injury (TRALI)LAccepted
J95850Mechanical complication of respiratorLAccepted
J95851Ventilator associated pneumoniaLAccepted
J95859Other complication of respirator [ventilator]LAccepted
J95860Postproc hematoma of a resp sys org fol a resp sys procedureLAccepted
J95861Postproc hematoma of a resp sys org fol other procedureLAccepted
J95862Postproc seroma of a resp sys org fol a resp sys procedureLAccepted
J95863Postproc seroma of a resp sys org following other procedureLAccepted
J9587Transfusion-associated dyspnea (TAD)LAccepted
J9588Oth intraoperative complications of respiratory system, NECLAccepted
J9589Oth postproc complications and disorders of resp sys, NECLAccepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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