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J95.02

Billable

Infection of tracheostomy stoma

HCC Category Mapping

V28HCC 211Respirator Dependence/Tracheostomy Status/Complications
0.450
V24HCC 82Respirator Dependence/Tracheostomy Status
1.241
ESRDHCC 82Respirator Dependence/Tracheostomy Status
0.000

What This Code Means

An infection or inflammation at the site where the tracheostomy tube enters the windpipe.

Coding Tips

  • Document the causative organism if identified through culture or testing
  • Consider if this is a superficial stoma infection or deeper tissue infection for clinical accuracy

Clinical Significance

Infection of tracheostomy stoma is a common complication where bacterial colonization progresses to active infection at the surgical opening. This can range from superficial cellulitis to deep tissue infection with potential for mediastinitis or sepsis. Tracheostomy infections increase length of stay, antibiotic requirements, and can compromise airway management.

Documentation Requirements

  • Documentation of infection signs at the tracheostomy stoma (erythema, warmth, purulent drainage, induration)
  • Culture results from the stoma site identifying the causative organism
  • Depth of infection assessment (superficial cellulitis vs. deep tissue infection vs. necrotizing infection)
  • Antibiotic regimen prescribed and duration
  • Assessment of tracheostomy tube integrity and whether tube change is needed

Use Additional Code

  • code to identify type of infection, such as:
  • cellulitis of neck (L03.221)
  • sepsis (A40, A41.-)

Commonly Confused Codes

Code Hierarchy

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