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J95.72 vs J95.811

J95.72 (Accidental puncture and laceration of a respiratory system organ or structure during other procedure) compared with J95.811 (Postprocedural pneumothorax), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because J95.72 lists J95.811 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named.J95.72 is “Accidental puncture and laceration of a respiratory system organ or structure during other procedure”; J95.811 is “Postprocedural pneumothorax”.

Registry fact

Can these codes be reported together?

Yes, when both are documented.J95.72 lists J95.811 under Excludes2: “postprocedural pneumothorax (J95.811)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code.

Official rule

Is there an Excludes2 relationship?

Yes.J95.72’s tabular entry: “postprocedural pneumothorax (J95.811)”. The note covers J95.811.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

No.Neither is a subdivision of the other, and neither title is the unspecified form; they describe different conditions within category J95.

Registry fact

Is one a parent or header code?

No.Both are billable codes, and neither contains the other.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

J95.72
Accidental puncture and laceration of a respiratory system organ or structure during other procedure
↔
J95.811
Postprocedural pneumothorax

What we found

Yes, when both are documented.J95.72 carries an Excludes2 note covering J95.811: “postprocedural pneumothorax (J95.811)”

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

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

J95.72Accidental puncture and laceration of a respiratory system organ or structure during other procedureJ95.811Postprocedural pneumothorax
Billing statusBillableBillable
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 other procedure is a billable ICD-10-CM diagnosis code (J95.72).Postprocedural pneumothorax is a billable ICD-10-CM diagnosis code (J95.811).
Excludes2
postprocedural pneumothorax (J95.811)
aspiration pneumonia (J69.-)
emphysema (subcutaneous) resulting from a procedure (T81.82)
hypostatic pneumonia (J18.2)
pulmonary manifestations due to radiation (J70.0-J70.1)
aspiration pneumonia (J69.-)
emphysema (subcutaneous) resulting from a procedure (T81.82)
hypostatic pneumonia (J18.2)
pulmonary manifestations due to radiation (J70.0-J70.1)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources