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Compare/J95.0 vs T82.6XXD

J95.0 vs T82.6XXD

J95.0 (Tracheostomy complications) compared with T82.6XXD (Infection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter), 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. T82.6XXD carries an Excludes2 note covering J95.0: “ostomy complications (J95.0-, K94.-, N99.5-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

J95.0Tracheostomy complicationsT82.6XXDInfection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter
Billing statusNon-billable header

Report instead: J95.00, J95.01, J95.02, J95.03, J95.04

Billable
ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionTracheostomy complications is a non-billable ICD-10-CM category code (J95.0).Infection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T82.6D).
7th characterThe appropriate 7th character is to be added to each code from category T82
Use additional code
code to identify infection
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources