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Compare/J95.0 vs T83.038A

J95.0 vs T83.038A

J95.0 (Tracheostomy complications) compared with T83.038A (Leakage of other urinary catheter, initial 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. T83.038A 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 complicationsT83.038ALeakage of other urinary catheter, initial 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).Leakage of other urinary catheter, initial encounter is a billable ICD-10-CM diagnosis code (T83.038A).
7th characterThe appropriate 7th character is to be added to each code from category T83
Includes
Leakage of Hopkins catheter
Leakage of ileostomy catheter
Leakage of urostomy catheter
Use additional code
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
code to identify devices involved and details of circumstances (Y62-Y82)

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