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J95 ICD-10-CM Code: Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

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FY 2026 Apr update / Diseases of the respiratory system (J00-J99) / Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (J95)

J95

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
J9Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (J95)
J95Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for J95 in this effective period.

Excludes 2

Official
  • aspiration pneumonia (J69.-)
  • emphysema (subcutaneous) resulting from a procedure (T81.82)
  • hypostatic pneumonia (J18.2)
  • pulmonary manifestations due to radiation (J70.0-J70.1)

Related Child Codes

Official
J95.0Tracheostomy complications
J95.1Acute pulmonary insufficiency following thoracic surgery
J95.2Acute pulmonary insufficiency following nonthoracic surgery
J95.3Chronic pulmonary insufficiency following surgery
J95.4Chemical pneumonitis due to anesthesia

Includes

Official

ICD-10-CM does not list Includes notes for J95 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for J95 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for J95 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for J95 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for J95 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

J95 is the ICD-10-CM diagnosis code for intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified. J95 sits in the ICD-10-CM chapter for diseases of the respiratory system (j00-j99), within the section covering intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (j95).

Header codes like J95 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at J95's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for J95 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • aspiration pneumonia (J69.-)
  • emphysema (subcutaneous) resulting from a procedure (T81.82)
  • hypostatic pneumonia (J18.2)
  • pulmonary manifestations due to radiation (J70.0-J70.1)

Child Codes

Code Hierarchy

J95Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
J95Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

More on J95

Referenced in blog posts

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