J95 — Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
ICD-10-CM codes J95 cover intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified, within diseases of the respiratory system. The block holds 42 codes across 1 category, of which 32 are billable and 10 are header codes that cannot be submitted on a claim.
Risk adjustment in J95
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 211 Respirator Dependence/Tracheostomy Status/Complications
What else to watch in J95
- 30 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.