J95.860 - Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure

Version 2023

ICD-10:	J95.860
Short Description:	Postproc hematoma of a resp sys org fol a resp sys procedure
Long Description:	Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
Status:	Valid for Submission
Version:	ICD-10-CM 2023
Code Classification:	Diseases of the respiratory system (J00–J99) Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (J95) Intraop and postproc comp and disorders of resp sys, NEC (J95)

1. Tabular List of Diseases and Injuries
2. Index to Diseases and Injuries References
3. Diagnostic Related Groups - MS-DRG Mapping
4. Replacement Code
5. Convert to ICD-9 Code
6. Patient Education
7. Related Codes Browser
8. Code History

J95.860 is a billable ICD-10 code used to specify a medical diagnosis of postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.

Index to Diseases and Injuries References

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:

- Complication (s) (from) (of)
- - postprocedural - See Also: Complications, surgical procedure;
  - - hematoma (of)
    - - respiratory system
      - - following procedure on respiratory system organ or structure - J95.860

Diagnostic Related Groups - MS-DRG Mapping

The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight
919	COMPLICATIONS OF TREATMENT WITH MCC	21	1.7936
920	COMPLICATIONS OF TREATMENT WITH CC	21	1.0218
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	21	0.7279

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

J95860 replaces the following previously assigned ICD-10 code(s):

J95.830 - Postproc hemor of a resp sys org fol a resp sys procedure
J95.830 - Postproc hemor/hemtom of a resp sys org fol a resp sys proc

Convert to ICD-9 Code

Source ICD-10 Code		Target ICD-9 Code
J95.860		998.12 - Hematoma complic proc
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Related Codes Browser

ICD Code	Description	Valid for Submission
J95	Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified	NON-BILLABLE CODE
J95.0	Tracheostomy complications	NON-BILLABLE CODE
J95.00	Unspecified tracheostomy complication	BILLABLE CODE
J95.01	Hemorrhage from tracheostomy stoma	BILLABLE CODE
J95.02	Infection of tracheostomy stoma	BILLABLE CODE
J95.03	Malfunction of tracheostomy stoma	BILLABLE CODE
J95.04	Tracheo-esophageal fistula following tracheostomy	BILLABLE CODE
J95.09	Other tracheostomy complication	BILLABLE CODE
J95.1	Acute pulmonary insufficiency following thoracic surgery	BILLABLE CODE
J95.2	Acute pulmonary insufficiency following nonthoracic surgery	BILLABLE CODE
J95.3	Chronic pulmonary insufficiency following surgery	BILLABLE CODE
J95.4	Chemical pneumonitis due to anesthesia	BILLABLE CODE
J95.5	Postprocedural subglottic stenosis	BILLABLE CODE
J95.6	Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure	NON-BILLABLE CODE
J95.61	Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure	BILLABLE CODE
J95.62	Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure	BILLABLE CODE
J95.7	Accidental puncture and laceration of a respiratory system organ or structure during a procedure	NON-BILLABLE CODE
J95.71	Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure	BILLABLE CODE
J95.72	Accidental puncture and laceration of a respiratory system organ or structure during other procedure	BILLABLE CODE
J95.8	Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified	NON-BILLABLE CODE
J95.81	Postprocedural pneumothorax and air leak	NON-BILLABLE CODE
J95.811	Postprocedural pneumothorax	BILLABLE CODE
J95.812	Postprocedural air leak	BILLABLE CODE
J95.82	Postprocedural respiratory failure	NON-BILLABLE CODE
J95.821	Acute postprocedural respiratory failure	BILLABLE CODE
J95.822	Acute and chronic postprocedural respiratory failure	BILLABLE CODE
J95.83	Postprocedural hemorrhage of a respiratory system organ or structure following a procedure	NON-BILLABLE CODE
J95.830	Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure	BILLABLE CODE
J95.831	Postprocedural hemorrhage of a respiratory system organ or structure following other procedure	BILLABLE CODE
J95.84	Transfusion-related acute lung injury (TRALI)	BILLABLE CODE
J95.85	Complication of respirator [ventilator]	NON-BILLABLE CODE
J95.850	Mechanical complication of respirator	BILLABLE CODE
J95.851	Ventilator associated pneumonia	BILLABLE CODE
J95.859	Other complication of respirator [ventilator]	BILLABLE CODE
J95.86	Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure	NON-BILLABLE CODE
J95.861	Postprocedural hematoma of a respiratory system organ or structure following other procedure	BILLABLE CODE
J95.862	Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure	BILLABLE CODE
J95.863	Postprocedural seroma of a respiratory system organ or structure following other procedure	BILLABLE CODE
J95.87	Transfusion-associated dyspnea (TAD)	BILLABLE CODE
J95.88	Other intraoperative complications of respiratory system, not elsewhere classified	BILLABLE CODE
J95.89	Other postprocedural complications and disorders of respiratory system, not elsewhere classified	BILLABLE CODE

Code History

FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018

Previous Code: J95.86

Parent Code: J95.86

Next Code: J95.861

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