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J95.7 vs J95.811

J95.7 (Accidental puncture and laceration of a respiratory system organ or structure during a procedure) compared with J95.811 (Postprocedural pneumothorax), 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. J95.7 carries an Excludes2 note covering J95.811: “postprocedural pneumothorax (J95.811)”

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

Side by side

J95.7Accidental puncture and laceration of a respiratory system organ or structure during a procedureJ95.811Postprocedural pneumothorax
Billing statusNon-billable header

Report instead: J95.71, J95.72

Billable
ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionAccidental puncture and laceration of a respiratory system organ or structure during a procedure is a non-billable ICD-10-CM category code (J95.7).Postprocedural pneumothorax is a billable ICD-10-CM diagnosis code (J95.811).

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