2026 ICD-10-CM Diagnosis Code J95.851Ventilator associated pneumonia

ICD-10-CM Codes›J00–J99›J95›J95

ICD-10-CM J95.851
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

J95.851 is a billable ICD-10-CM diagnosis code for ventilator associated pneumonia. 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 complication of respiratory therapy procedure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pneumonia (except that caused by tuberculosis) and Postprocedural or postoperative respiratory system complication.

Code Identity

ICD-10-CM Code
J95.851
Billable Status
Yes — Valid for Submission
Code Describes
Ventilator associated pneumonia
Short Description
Ventilator associated pneumonia
Same as the full description in the CMS dataset.
Parent Code
J95.85
Complication of respirator [ventilator]

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 CodeJ95.851Ventilator associated pneumonia

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Complication of respiratory therapy procedure
  • Ventilator associated pneumonia

Tabular List NotesGuidance

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

Inclusion Terms

  • Ventilator associated pneumonitis

Use Additional Code

  • code to identify the organism, if known B95 B96 B97

Type 1 Excludes

  • ventilator lung in newborn P27.8

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.

    • Pneumonia(acute) (double) (migratory) (purulent) (septic) (unresolved)
      • ventilator associated
    • Pneumonitis(acute) (primary)
      • due to
        • ventilator
    • Pneumonitis(acute) (primary)
      • ventilator associated

Clinical ClassificationClinical

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

CCSR RSP002
Pneumonia (except that caused by tuberculosis)
Default principal diagnosis: inpatient No · outpatient No
CCSR RSP017
Postprocedural or postoperative respiratory system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Pneumonia

Pneumonia is an infection in one or both of your lungs. It causes the air sacs of your lungs to fill up with fluid or pus. Pneumonia can range from mild to severe, depending on what caused it, your age, and your overall health.

The full article covers:

  • What is pneumonia?
  • What causes pneumonia?
  • Who is more likely to develop pneumonia?
  • What are the symptoms of pneumonia?
  • What other problems can pneumonia cause?
  • How is pneumonia diagnosed?
  • What are the treatments for pneumonia?
  • Can pneumonia be prevented?

Read the full article at MedlinePlus

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

Convert J95.851 to ICD-9-CMHistory

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

ICD-9-CM
997.31 Ventltr assoc pneumonia
Exact Match The mapping is direct, with no qualifiers.

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 J95.851Overview

Is J95.851 (Complication of respirator [ventilator]) a billable code?

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

What MS-DRG does J95.851 group to?

When ventilator associated pneumonia 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 J95.851?

Under the General Equivalence Mappings, ventilator associated pneumonia converts to ICD-9-CM 997.31 (ventltr assoc pneumonia). The mapping is a direct match.

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.