J95.851 (Ventilator associated pneumonia) compared with T83.714 (Erosion of implanted ureteral bulking agent to surrounding organ or tissue), 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. T83.714 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 | T83.714Erosion of implanted ureteral bulking agent to surrounding organ or tissue | |
|---|---|---|
| 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). | Erosion of implanted ureteral bulking agent to surrounding organ or tissue is a non-billable ICD-10-CM category code (T83.714). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T83 |
| Includes | Ventilator associated pneumonitis | — |
| 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