2026 ICD-10-CM Diagnosis Code J95.861Postprocedural hematoma of a respiratory system organ or structure following other procedure

ICD-10-CM Codes›J00–J99›J95›J95

ICD-10-CM J95.861
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

J95.861 is a billable ICD-10-CM diagnosis code for postprocedural hematoma of a respiratory system organ or structure following other procedure. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 919 through 921. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative respiratory system complication.

Code Identity

ICD-10-CM Code
J95.861
Billable Status
Yes — Valid for Submission
Code Describes
Postprocedural hematoma of a respiratory system organ or structure following other procedure
Short Description
Postproc hematoma of a resp sys org fol other 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 CodeJ95.861Postprocedural hematoma of a respiratory system organ or structure following other procedure

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)
      • postprocedural
        • hematoma (of)
          • respiratory system
            • following other procedure

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 J95.861 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 J95.861 replaces the following previously assigned code(s):

  • J95.831 - Postproc hemor of a resp sys org following other procedure
  • J95.831 - Postproc hemor/hemtom of a resp sys org fol oth procedure
FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About J95.861Overview

Is J95.861 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 other procedure on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does J95.861 group to?

When postprocedural hematoma of a respiratory system organ or structure following other procedure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 919, 920, 921, with relative weights from 0.6884 to 1.8308 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of J95.861?

Under the General Equivalence Mappings, postprocedural hematoma of a respiratory system organ or structure following other procedure converts to ICD-9-CM 998.12 (hematoma complic proc). 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.