J95.0 vs T85.738D
J95.0 (Tracheostomy complications) compared with T85.738D (Infection and inflammatory reaction due to other nervous system device, implant or graft, 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. T85.738D 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 complications | T85.738DInfection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Tracheostomy complications is a non-billable ICD-10-CM category code (J95.0). | Infection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounter is a billable ICD-10-CM diagnosis code (T85.738D). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T85 |
| Includes | — | Infection and inflammatory reaction due to intrathecal infusion pump |
| 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