J95.860 — Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure

BillableCC

Is J95.860 billable?

Yes — J95.860 is billable for FY2027. J95.860 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J95.860 may be submitted for encounters from October 1, 2026 through September 30, 2027.

J95.860 at a glance

Code	J95.860
Description	Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does J95.860 group to?

J95.860 sits in MDC 21 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.

919Complications of Treatment with MCCmedical
920Complications of Treatment with CCmedical
921Complications of Treatment without CC/MCCmedical

As a secondary diagnosis, J95.860 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is J95.860 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to J95.860. They show the wording a clinician may have documented, which often differs from the Tabular description.

Complication › postprocedural › hematoma › respiratory system › following procedure on respiratory system organ or structure (s) (from) (of)

Use additional code — inherited from Chapter 10

Report an additional code alongside J95.860 to fully describe the condition. J95.860 is sequenced first.

code, where applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Excludes2 — not included here — inherited from Chapter 10

The conditions below are not part of J95.860, but a patient may have both at the same time. When documentation supports it, J95.860 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 J95.860, but a patient may have both at the same time. When documentation supports it, J95.860 and the excluded code may both be reported.

aspiration pneumonia (J69.-)
emphysema (subcutaneous) resulting from a procedure (T81.82)
hypostatic pneumonia (J18.2)
pulmonary manifestations due to radiation (J70.0-J70.1)

How long has J95.860 existed?

J95.860 first appears in FY2018 (FY2017 is not available, so it may have appeared then).

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.