2027 ICD-10-CM Diagnosis Code J95.811Postprocedural pneumothorax
ICD-10-CM Codes›J00–J99›J95›J95
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
J95.811 is a billable ICD-10-CM diagnosis code for postprocedural pneumothorax. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 199 through 201. 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 18 closely related codes. Coders also document this condition as iatrogenic pneumothorax. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pneumothorax and Postprocedural or postoperative respiratory system complication.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Iatrogenic pneumothorax
- Pneumothorax due to and following procedure
- Pneumothorax following procedure
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to J95.811: its own notes plus those printed at J95 and Chapter 10. A note printed at a category, block or chapter applies to every code under it.
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.
- 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)
Notes
General instructions on how these codes are used.
- 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 J95.811, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming J95.811: they are not reported together with it, unless the two conditions are unrelated.
- J93 Pneumothorax and air leakpostprocedural pneumothorax (J95.811)
Excludes2 2
These codes carry an Excludes2 note naming J95.811: its condition is not part of those codes, and both may be reported when the patient has both.
- J95.7 Accidental puncture and laceration of a respiratory system organ or structure during a procedurepostprocedural pneumothorax (J95.811)
- T81 Complications of procedures, not elsewhere classifiedintraoperative 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.
postprocedural J95.811
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Collapsed Lung
A collapsed lung happens when air enters the pleural space, the area between the lung and the chest wall. If it is a total collapse, it is called pneumothorax. If only part of the lung is affected, it is called atelectasis.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert J95.811 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About J95.811Overview
What is the ICD-10 code for postprocedural pneumothorax?
The ICD-10-CM code for postprocedural pneumothorax is J95.811 (sometimes written as J95811). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is J95.811 (Postprocedural pneumothorax and air leak) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report postprocedural pneumothorax on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does J95.811 group to?
When postprocedural pneumothorax is the principal diagnosis on an inpatient stay, it groups to MS-DRG 201, 199, 200, with relative weights from 0.6782 to 1.7314 depending on complications. Higher weights mean higher Medicare reimbursement.
Is J95.811 a CC or MCC?
CMS lists J95.811 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 18 closely related codes in its exclusion list.
What is the ICD-9 equivalent of J95.811?
Under the General Equivalence Mappings, postprocedural pneumothorax converts to ICD-9-CM 512.1 (iatrogenic pneumothorax). The mapping is approximate, so confirm the match fits the documentation.
