2026 ICD-10-CM Diagnosis Code J95.03Malfunction of tracheostomy stoma

ICD-10-CM Codes›J00–J99›J95›J95

ICD-10-CM J95.03
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

J95.03 is a billable ICD-10-CM diagnosis code for malfunction of tracheostomy stoma. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 205 through 206. Coders also document this condition as malfunction of tracheostomy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative respiratory system complication.

Code Identity

ICD-10-CM Code
J95.03
Billable Status
Yes — Valid for Submission
Code Describes
Malfunction of tracheostomy stoma
Short Description
Malfunction of tracheostomy stoma
Same as the full description in the CMS dataset.
Parent Code
J95.0
Tracheostomy complications

Code Classification

ChapterJ00–J99Diseases of the respiratory system
SectionJ95Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
CategoryJ95Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
This CodeJ95.03Malfunction of tracheostomy stoma

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Malfunction of tracheostomy
  • Stenosis of trachea
  • Stomal obstruction
  • Tracheal stenosis following tracheostomy
  • Tracheostomy complication
  • Tracheostomy obstruction

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Mechanical complication of tracheostomy stoma
  • Obstruction of tracheostomy airway
  • Tracheal stenosis due to tracheostomy

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Complication(s) (from) (of)
      • tracheostomy
        • malfunction
    • Complication(s) (from) (of)
      • tracheostomy
        • mechanical
    • Complication(s) (from) (of)
      • tracheostomy
        • obstruction
    • Malfunction
      • tracheostomy
    • Obstruction, obstructed, obstructive
      • tracheostomy airway
    • Stenosis, stenotic(cicatricial)
      • tracheostomy
    • Stoma malfunction
      • tracheostomy
    • Stricture
      • stoma (following) (of)
        • tracheostomy
    • Stricture
      • tracheostomy
    • Tracheostomy
      • status
        • malfunctioning

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR RSP017
Postprocedural or postoperative respiratory system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Tracheal Disorders

Your trachea, or windpipe, is one part of your airway system. Airways are pipes that carry oxygen-rich air to your lungs. They also carry carbon dioxide, a waste gas, out of your lungs.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert J95.03 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
519.02 Tracheostomy - mech comp
Approximate The match is approximate rather than exact.
ICD-9-CM
519.09 Tracheostomy comp NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About J95.03Overview

Is J95.03 (Tracheostomy complications) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report malfunction of tracheostomy stoma on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does J95.03 group to?

When malfunction of tracheostomy stoma is the principal diagnosis on an inpatient stay, it groups to MS-DRG 205, 206, with relative weights from 0.9411 to 1.8310 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of J95.03?

Under the General Equivalence Mappings, malfunction of tracheostomy stoma converts to ICD-9-CM 519.02 (tracheostomy - mech comp) and 519.09 (tracheostomy comp NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.