J95.851 vs T84.54XD
J95.851 (Ventilator associated pneumonia) compared with T84.54XD (Infection and inflammatory reaction due to internal left knee prosthesis, subsequent 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. T84.54XD 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 | T84.54XDInfection and inflammatory reaction due to internal left knee prosthesis, subsequent 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 internal left knee prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T84.54D). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T84 |
| Includes | Ventilator associated pneumonitis | — |
| 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