October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

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 v07.2.26.

ICD-10-CM FY2027 · CMS grouper v07.2.26

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.

Code families in J95-J95

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in J95-J95

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

CodeDescriptionClinical groupPrimary position
J9500Unspecified tracheostomy complicationNoneCannot lead a claim
J9501Hemorrhage from tracheostomy stomaDCan lead a claim
J9502Infection of tracheostomy stomaDCan lead a claim
J9503Malfunction of tracheostomy stomaDCan lead a claim
J9504Tracheo-esophageal fistula following tracheostomyDCan lead a claim
J9509Other tracheostomy complicationDCan lead a claim
J951Acute pulmonary insufficiency following thoracic surgeryLCan lead a claim
J952Acute pulmonary insufficiency following nonthoracic surgeryLCan lead a claim
J953Chronic pulmonary insufficiency following surgeryLCan lead a claim
J954Chemical pneumonitis due to anesthesiaLCan lead a claim
J955Postprocedural subglottic stenosisLCan lead a claim
J9561Intraop hemor/hemtom of a resp sys org comp resp sys procLCan lead a claim
J9562Intraop hemor/hemtom of a resp sys org comp oth procedureLCan lead a claim
J9571Accidental pnctr & lac of a resp sys org dur resp sys procLCan lead a claim
J9572Acc pnctr & lac of a resp sys org during oth procedureLCan lead a claim
J95811Postprocedural pneumothoraxLCan lead a claim
J95812Postprocedural air leakLCan lead a claim
J95821Acute postprocedural respiratory failureLCan lead a claim
J95822Acute and chronic postprocedural respiratory failureLCan lead a claim
J95830Postproc hemor of a resp sys org fol a resp sys procedureLCan lead a claim
J95831Postproc hemor of a resp sys org following other procedureLCan lead a claim
J9584Transfusion-related acute lung injury (TRALI)LCan lead a claim
J95850Mechanical complication of respiratorLCan lead a claim
J95851Ventilator associated pneumoniaLCan lead a claim
J95859Other complication of respirator [ventilator]LCan lead a claim
J95860Postproc hematoma of a resp sys org fol a resp sys procedureLCan lead a claim
J95861Postproc hematoma of a resp sys org fol other procedureLCan lead a claim
J95862Postproc seroma of a resp sys org fol a resp sys procedureLCan lead a claim
J95863Postproc seroma of a resp sys org following other procedureLCan lead a claim
J9587Transfusion-associated dyspnea (TAD)LCan lead a claim
J9588Oth intraoperative complications of respiratory system, NECLCan lead a claim
J9589Oth postproc complications and disorders of resp sys, NECLCan lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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