2027 ICD-10-CM Diagnosis Code J95.61Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure

ICD-10-CM Codes›J00–J99›J95›J95

ICD-10-CM J95.61
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

J95.61 is a billable ICD-10-CM diagnosis code for intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 919 through 921. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 76 closely related codes. Coders also document this condition as hemorrhage of respiratory organ during operation on lung. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative respiratory system complication.

Code Identity

ICD-10-CM Code
J95.61
Billable Status
Yes — Valid for Submission
Code Describes
Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure
Short Description
Intraop hemor/hemtom of a resp sys org comp resp sys proc
Parent Code
J95.6
Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure

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 CodeJ95.61Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hemorrhage of respiratory organ during operation on lung
  • Intraoperative hemorrhage

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to J95.61: its own notes plus those printed at J95.6, J95, and Chapter 10. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From J95.6 Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure applies to 2 codes
  • intraoperative hemorrhage and hematoma of a respiratory system organ or structure due to accidental puncture and laceration during procedure (J95.7-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified applies to 32 codes
  • aspiration pneumonia (J69.-)
  • emphysema (subcutaneous) resulting from a procedure (T81.82)
  • hypostatic pneumonia (J18.2)
  • pulmonary manifestations due to radiation (J70.0-J70.1)
From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Notes

General instructions on how these codes are used.

From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name J95.61, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming J95.61: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block T80-T88 Complications of surgical and medical care, not elsewhere classified
    intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-) names J95.6-, which includes this code
  • T81 Complications of procedures, not elsewhere classified
    intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-) names J95, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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

Convert J95.61 to ICD-9-CMHistory

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

ICD-9-CM
998.11 Hemorrhage complic proc
Approximate The match is approximate rather than exact.
ICD-9-CM
998.12 Hematoma complic proc
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About J95.61Overview

Is J95.61 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does J95.61 group to?

When intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 920, 919, 921, with relative weights from 0.6719 to 1.7624 depending on complications. Higher weights mean higher Medicare reimbursement.

Is J95.61 a CC or MCC?

CMS lists J95.61 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 76 closely related codes in its exclusion list.

Can J95.61 be reported with a code from J95.7?

Not as a rule. The Excludes1 note at J95.6, which applies to J95.61, lists "intraoperative hemorrhage and hematoma of a respiratory system organ or structure due to accidental puncture and laceration during procedure (J95.7-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of J95.61?

Under the General Equivalence Mappings, intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure converts to ICD-9-CM 998.11 (hemorrhage complic proc) and 998.12 (hematoma complic proc). The mapping is approximate, so confirm the match fits the documentation.