J95.851 vs T83.61XA
J95.851 (Ventilator associated pneumonia) compared with T83.61XA (Infection and inflammatory reaction due to implanted penile prosthesis, 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. T83.61XA 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 | T83.61XAInfection and inflammatory reaction due to implanted penile prosthesis, 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). | Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter is a billable ICD-10-CM diagnosis code (T83.61A). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T83 |
| Includes | Ventilator associated pneumonitis | Infection and inflammatory reaction due to penile prosthesis cylinder Infection and inflammatory reaction due to penile prosthesis pump Infection and inflammatory reaction due to penile prosthesis reservoir |
| Use additional code | code to identify the organism, if known (B95.-, B96.-, B97.-) | code to identify infection 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources