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J95.863

Billable

Postprocedural seroma of a respiratory system organ or structure following other procedure

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A seroma (collection of fluid) that develops in a respiratory system organ or structure after a surgical or medical procedure other than a respiratory surgery. This is a complication that occurs as a result of the procedure performed.

Coding Tips

  • Verify the procedure code to ensure it is NOT a respiratory procedure; if it is a respiratory procedure, use J95.862 instead
  • Document the specific respiratory organ or structure affected (lung, trachea, bronchus, etc.) and ensure the seroma is documented as postprocedural to support medical necessity

Code Hierarchy

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