J95.811 — Postprocedural pneumothorax
Is J95.811 billable?
Yes — J95.811 is billable for FY2027. J95.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J95.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.
J95.811 at a glance
| Code | J95.811 |
|---|---|
| Description | Postprocedural pneumothorax |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does J95.811 group to?
J95.811 sits in MDC 04 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 199Pneumothorax with MCCmedical
- 200Pneumothorax with CCmedical
- 201Pneumothorax without CC/MCCmedical
As a secondary diagnosis, J95.811 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 14.
How is J95.811 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to J95.811. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pneumothorax NOS › postprocedural
- Complication › respiratory system › postoperative › pneumothorax (s) (from) (of)
Use additional code — inherited from Chapter 10
Report an additional code alongside J95.811 to fully describe the condition. J95.811 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J95.811, but a patient may have both at the same time. When documentation supports it, J95.811 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- smoke inhalation (T59.81-)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from J95
The conditions below are not part of J95.811, but a patient may have both at the same time. When documentation supports it, J95.811 and the excluded code may both be reported.
How long has J95.811 existed?
J95.811 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.