I97.0 vs J95.1
I97.0 (Postcardiotomy syndrome) compared with J95.1 (Acute pulmonary insufficiency following thoracic surgery), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. J95.1 carries an Excludes2 note covering I97.0: “Functional disturbances following cardiac surgery (I97.0, I97.1-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| I97.0Postcardiotomy syndrome | J95.1Acute pulmonary insufficiency following thoracic surgery | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | J00-J99 — Diseases of the Respiratory System (J00-J99) |
| Definition | Postcardiotomy syndrome is a billable ICD-10-CM diagnosis code (I97.0). | Acute pulmonary insufficiency following thoracic surgery is a billable ICD-10-CM diagnosis code (J95.1). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources