J95.851 (Ventilator associated pneumonia) compared with T85.734 (Infection and inflammatory reaction due to implanted electronic neurostimulator, generator), 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. T85.734 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 | T85.734Infection and inflammatory reaction due to implanted electronic neurostimulator, generator | |
|---|---|---|
| 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). | Infection and inflammatory reaction due to implanted electronic neurostimulator, generator is a non-billable ICD-10-CM category code (T85.734). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T85 |
| Includes | Ventilator associated pneumonitis | Generator pocket infection |
| 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