J95.859 — Other complication of respirator [ventilator]
Is J95.859 billable?
Yes — J95.859 is billable for FY2027. J95.859 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J95.859 may be submitted for encounters from October 1, 2026 through September 30, 2027.
J95.859 at a glance
| Code | J95.859 |
|---|---|
| Description | Other complication of respirator [ventilator] |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does J95.859 group to?
J95.859 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, J95.859 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is J95.859 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to J95.859. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Breakdown › respirator › specified NEC
- Breakdown › ventilator › specified NEC
- Complication › respirator › mechancial › specified NEC (s) (from) (of)
- Complication › ventilator › mechanical › specified NEC (s) (from) (of)
Use additional code — inherited from Chapter 10
Report an additional code alongside J95.859 to fully describe the condition. J95.859 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J95.859, but a patient may have both at the same time. When documentation supports it, J95.859 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 J95.859, but a patient may have both at the same time. When documentation supports it, J95.859 and the excluded code may both be reported.
How long has J95.859 existed?
J95.859 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.