J95.851 (Ventilator associated pneumonia) compared with T80.82 (Complication of immune effector cellular therapy), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“ventilator associated pneumonia (J95.851)”
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: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. T80.82 carries an Excludes2 note covering J95.851: “ventilator associated pneumonia (J95.851)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| J95.851Ventilator associated pneumonia | T80.82Complication of immune effector cellular therapy | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| 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). | Complication of immune effector cellular therapy is a non-billable ICD-10-CM category code (T80.82). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T80 |
| Includes | Ventilator associated pneumonitis | complications following perfusion Complication of chimeric antigen receptor (CAR-T) cell therapy Complication of IEC therapy |
| Use additional code | code to identify the organism, if known (B95.-, B96.-, B97.-) | code to identify the specific complication, such as: cytokine release syndrome (D89.83-) immune effector cell-associated neurotoxicity syndrome (G92.0-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources