J95.851 vs T80.62XA
J95.851 (Ventilator associated pneumonia) compared with T80.62XA (Other serum reaction due to vaccination, 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. T80.62XA carries an Excludes2 note covering J95.851: “ventilator associated pneumonia (J95.851)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| J95.851Ventilator associated pneumonia | T80.62XAOther serum reaction due to vaccination, initial encounter | |
|---|---|---|
| Billing status | Billable | 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 | Ventilator associated pneumonia is a billable ICD-10-CM diagnosis code (J95.851). | Other serum reaction due to vaccination, initial encounter is a billable ICD-10-CM diagnosis code (T80.62A). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T80 |
| Includes | Ventilator associated pneumonitis | complications following perfusion |
| Use additional code | code to identify the organism, if known (B95.-, B96.-, B97.-) | 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