J95.851 — Ventilator associated pneumonia
Is J95.851 billable?
Yes — J95.851 is billable for FY2027. J95.851 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J95.851 may be submitted for encounters from October 1, 2026 through September 30, 2027.
J95.851 at a glance
| Code | J95.851 |
|---|---|
| Description | Ventilator associated pneumonia |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does J95.851 group to?
J95.851 sits in MDC 04 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 205Other Respiratory System Diagnoses with MCCmedical
- 206Other Respiratory System Diagnoses without MCCmedical
As a secondary diagnosis, J95.851 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is J95.851 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to J95.851. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pneumonia › ventilator associated (acute) (double) (migratory) (purulent) (septic) (unresolved)
- Pneumonitis › ventilator associated (acute) (primary)
- Pneumonitis › due to › ventilator (acute) (primary)
Excludes1 — never code together
The conditions below can never be reported together with J95.851 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- ventilator lung in newborn (P27.8)
Use additional code
Report an additional code alongside J95.851 to fully describe the condition. J95.851 is sequenced first.
Inclusion terms
Alternative wording in documentation that is classified to J95.851.
- Ventilator associated pneumonitis
Use additional code — inherited from Chapter 10
Report an additional code alongside J95.851 to fully describe the condition. J95.851 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J95.851, but a patient may have both at the same time. When documentation supports it, J95.851 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 J95.851, but a patient may have both at the same time. When documentation supports it, J95.851 and the excluded code may both be reported.
How long has J95.851 existed?
J95.851 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.