2027 ICD-10-CM Diagnosis Code J95.860Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure

ICD-10-CM Codes›J00–J99›J95›J95

ICD-10-CM J95.860
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

J95.860 is a billable ICD-10-CM diagnosis code for postprocedural hematoma of a respiratory system organ or structure following 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative respiratory system complication.

Code Identity

ICD-10-CM Code
J95.860
Billable Status
Yes — Valid for Submission
Code Describes
Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
Short Description
Postproc hematoma of a resp sys org fol a resp sys procedure
Parent Code
J95.86
Postprocedural hematoma and seroma of a respiratory system organ or structure following 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 CodeJ95.860Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to J95.860: 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.

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 J95.860, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming J95.860: its condition is not part of those codes, and both may be reported when the patient has both.

  • 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 J95.860 to ICD-9-CMHistory

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

ICD-9-CM
998.12 Hematoma complic proc
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement J95.860 replaces the following previously assigned 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
FY 2019AddedAdded to the ICD-10-CM code setEffective October 1, 2018.
FY 2020–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About J95.860Overview

Is J95.860 a billable code?

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

What MS-DRG does J95.860 group to?

When postprocedural hematoma of a respiratory system organ or structure following 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 J95.860 a CC or MCC?

CMS lists J95.860 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.

What is the ICD-9 equivalent of J95.860?

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