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ICD-10/J95.861

J95.861 ICD-10-CM Code: Postprocedural hematoma of a respiratory system organ or structure following other procedure

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

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)
  • MS-DRG 920 — COMPLICATIONS OF TREATMENT WITH CC (MDC 21)
  • MS-DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)

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.

Official Registry Overview & Definition

Postprocedural hematoma of a respiratory system organ or structure following other procedure is a billable ICD-10-CM diagnosis code (J95.861).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for J95.861 in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

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

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Postprocedural hematoma of a respiratory system organ or structure following other procedure
    FY2017 changes

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.

Contextual Map

Every relationship of J95.861 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.

Hierarchy

  • J00-J99 — Chapter 10: Diseases of the Respiratory System (J00-J99) (J00-J99) [Hierarchy]
  • J95-J95 — Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified [Hierarchy]

Clinical classification (CCSR)

  • RSP017 — Postprocedural or postoperative respiratory system complication [CCSR]

Potential MS-DRG

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
  • DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC [MS-DRG]: “COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)”
  • DRG 920 — COMPLICATIONS OF TREATMENT WITH CC [MS-DRG]: “COMPLICATIONS OF TREATMENT WITH CC (MDC 21)”
  • DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC [MS-DRG]: “COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)”

MDC crossing · procedures (32029)

  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
  • 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • and 32024 more

Index entries

  • Complication (s) (from) (of), postprocedural, hematoma (of), respiratory system, following other procedure[Index term]

Nearest codes (40)

  • J95 — Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified [Sibling]
  • J95.0 — Tracheostomy complications [Sibling]
  • J95.00 — Unspecified tracheostomy complication [Sibling]
  • J95.01 — Hemorrhage from tracheostomy stoma [Sibling]
  • J95.02 — Infection of tracheostomy stoma [Sibling]
  • J95.03 — Malfunction of tracheostomy stoma [Sibling]
  • J95.04 — Tracheo-esophageal fistula following tracheostomy [Sibling]
  • J95.09 — Other tracheostomy complication [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Relationships & Classification

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.

Potential MS-DRG Relationships (FY2026)

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 76 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 919 (MDC 21), DRG 920 (MDC 21), DRG 921 (MDC 21).

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

Nearest Codes in This Family

Official ICD-10-CM classifications closest to J95.861 in its code family, with their registry titles.

  • J95.85 — Complication of respirator [ventilator]
  • J95.850 — Mechanical complication of respirator
  • J95.851 — Ventilator associated pneumonia
  • J95.859 — Other complication of respirator [ventilator]
  • J95.86 — Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure
  • J95.860 — Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
  • J95.862 — Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure
  • J95.863 — Postprocedural seroma of a respiratory system organ or structure following other procedure
  • J95.87 — Transfusion-associated dyspnea (TAD)
  • J95.88 — Other intraoperative complications of respiratory system, not elsewhere classified

View all codes in the J95 family

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Complication (s) (from) (of), postprocedural, hematoma (of), respiratory system, following other procedure