J95.1 vs J98.4
J95.1 (Acute pulmonary insufficiency following thoracic surgery) compared with J98.4 (Other disorders of lung), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. J98.4 carries an Excludes1 note covering J95.1: “pulmonary insufficiency following surgery (J95.1-J95.2)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| J95.1Acute pulmonary insufficiency following thoracic surgery | J98.4Other disorders of lung | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | J00-J99 — Diseases of the Respiratory System (J00-J99) |
| Definition | Acute pulmonary insufficiency following thoracic surgery is a billable ICD-10-CM diagnosis code (J95.1). | Other disorders of lung is a billable ICD-10-CM diagnosis code (J98.4). |
| Includes | — | Calcification of lung Cystic lung disease (acquired) Lung disease NOS Pulmolithiasis |
| Use additional code | — | code to identify: exposure to environmental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources