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J95.5 ICD-10-CM Code: Postprocedural subglottic stenosis

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
4 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 205 — OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC (MDC 04)
  • MS-DRG 206 — OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC (MDC 04)
  • MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
  • MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for J95.5 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on J95.5 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from J95

Coder workflow for J95.5

MedCoder structured workflow — derived from this code’s own official record

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Acuity
Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).

Official instructions as workflow

  • Excludes2 — not part of J95.5(4 notes)

    Coding workflow: The conditions named in this note are not included in J95.5. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareJ69, T81.82, J18.2

    See the official tabular notes · Guidelines I.A.12.b

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Postprocedural subglottic stenosis is a billable ICD-10-CM diagnosis code (J95.5).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name J95.5 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: J38 — Diseases of vocal cords and larynx, not elsewhere classified.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: J95.89 — Other postprocedural complications and disorders of respiratory system, not elsewhere classified.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 54 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 4 MS-DRGs: DRG 205 (MDC 04), DRG 206 (MDC 04), DRG 791 (MDC 15), DRG 793 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):RSP017 — Postprocedural or postoperative respiratory system complication (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

H59.88 — Other intraoperative complications of eye and adnexa, not elsewhere classified, H59.89 — Other postprocedural complications and disorders of eye and adnexa, not elsewhere classified, H95.811 — Postprocedural stenosis of right external ear canal, H95.812 — Postprocedural stenosis of left external ear canal, H95.813 — Postprocedural stenosis of external ear canal, bilateral, H95.819 — Postprocedural stenosis of unspecified external ear canal, H95.88 — Other intraoperative complications and disorders of the ear and mastoid process, not elsewhere classified, H95.89 — Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified, I97.3 — Postprocedural hypertension, J95.4 — Chemical pneumonitis due to anesthesia, J95.84 — Transfusion-related acute lung injury (TRALI), J95.851 — Ventilator associated pneumonia, J95.859 — Other complication of respirator [ventilator], J95.87 — Transfusion-associated dyspnea (TAD), J95.88 — Other intraoperative complications of respiratory system, not elsewhere classified, J95.89 — Other postprocedural complications and disorders of respiratory system, not elsewhere classified, L76.81 — Other intraoperative complications of skin and subcutaneous tissue, L76.82 — Other postprocedural complications of skin and subcutaneous tissue, M96.89 — Other intraoperative and postprocedural complications and disorders of the musculoskeletal system, N98.1 — Hyperstimulation of ovaries, +33 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Postprocedural or postoperative respiratory system complication).

J95.00 — Unspecified tracheostomy complication, J95.01 — Hemorrhage from tracheostomy stoma, J95.02 — Infection of tracheostomy stoma, J95.03 — Malfunction of tracheostomy stoma, J95.04 — Tracheo-esophageal fistula following tracheostomy, J95.09 — Other tracheostomy complication, J95.1 — Acute pulmonary insufficiency following thoracic surgery, J95.2 — Acute pulmonary insufficiency following nonthoracic surgery, J95.3 — Chronic pulmonary insufficiency following surgery, J95.4 — Chemical pneumonitis due to anesthesia, J95.61 — Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure, J95.62 — Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure, J95.71 — Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure, J95.72 — Accidental puncture and laceration of a respiratory system organ or structure during other procedure, J95.811 — Postprocedural pneumothorax, J95.812 — Postprocedural air leak, J95.821 — Acute postprocedural respiratory failure, J95.822 — Acute and chronic postprocedural respiratory failure, J95.830 — Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure, J95.831 — Postprocedural hemorrhage of a respiratory system organ or structure following other procedure, +11 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Stenosis, stenotic”; these codes share that main term but sit in a different category of the Tabular List.

I42.1 — Obstructive hypertrophic cardiomyopathy (hypertrophic subaortic), I70.0 — Atherosclerosis of aorta (aorta, calcified), I70.1 — Atherosclerosis of renal artery (renal artery), I70.8 — Atherosclerosis of other arteries (artery NEC, celiac, atherosclerosis), I77.1 — Stricture of artery (artery NEC), I77.4 — Celiac artery compression syndrome (artery NEC, celiac), I87.1 — Compression of vein (vena cava), J34.89 — Other specified disorders of nose and nasal sinuses (nares), J38.6 — Stenosis of larynx (larynx), J39.8 — Other specified diseases of upper respiratory tract (trachea), J98.09 — Other diseases of bronchus, not elsewhere classified (bronchus), K11.8 — Other diseases of salivary glands (salivary duct), K22.2 — Esophageal obstruction (cardia), K31.1 — Adult hypertrophic pyloric stenosis (pylorus), K31.2 — Hourglass stricture and stenosis of stomach (stomach, hourglass), K31.5 — Obstruction of duodenum (duodenum), K31.B — Hypertrophic pyloric stenosis, in childhood (pylorus, infantile), K56.699 — Other intestinal obstruction unspecified as to partial versus complete obstruction (ileum), K62.4 — Stenosis of anus and rectum (anus, anal), K83.1 — Obstruction of bile duct (bile duct), +168 more

Contextual Map

Every relationship of J95.5 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run J95.5 with these 2 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 3,998 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
  • MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Complication (s) (from) (of), respiratory system, postoperative, subglottic stenosis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Complication (s) (from) (of), surgical procedure (on), subglottic stenosis (postsurgical)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Stenosis, stenotic (cicatricial), subglottic, postprocedural[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "J95.5 — Postprocedural subglottic stenosis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/j95.5-postprocedural-subglottic-stenosis

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Postprocedural subglottic stenosis

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to J95.5 in its code family, with their registry titles.

View all codes in the J95 family