J95.87 ICD-10-CM Code: Transfusion-associated dyspnea (TAD)
Compare with another code for J95.87Check this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Official instructions
- 2 Excludes1 · 4 Excludes2
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
- Excludes1Not reported with this code unless documented as unrelated
Where it sits Source: CMS/NCHS
Under:Chapter 10: Diseases of the Respiratory SystemJ95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classifiedJ95.8 Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
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 v44, 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 J95.87 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on J95.87 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- transfusion associated circulatory overload (TACO) (E87.71) Compare J95.87 vs E87.71 →
- transfusion-related acute lung injury (TRALI) (J95.84) Compare J95.87 vs J95.84 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- aspiration pneumonia (J69.-) Compare J95.87 vs J69 →
- emphysema (subcutaneous) resulting from a procedure (T81.82) Compare J95.87 vs T81.82 →
- hypostatic pneumonia (J18.2) Compare J95.87 vs J18.2 →
- pulmonary manifestations due to radiation (J70.0-J70.1) Compare J95.87 vs J70.0 →
Source: inherited from J95
Coder workflow for J95.87
MedCoder structured workflow — derived from this code’s own official record
Before you code J95.87
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with J95.87. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in J95.87’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider J95.87. Then confirm the code is valid for the date of service in the Verify section.
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).
Official instructions as workflow
Excludes1 — check before selecting J95.87(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with J95.87: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of J95.87(4 notes)
Coding workflow: The conditions named in this note are not included in J95.87. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition J95.87 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
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.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- CC as a secondary diagnosis (FY2027). 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-derived relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 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 34 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.
D69.51 — Posttransfusion purpura, E83.111 — Hemochromatosis due to repeated red blood cell transfusions, E87.71 — Transfusion associated circulatory overload, J95.84 — Transfusion-related acute lung injury (TRALI), T80.0XXA — Air embolism following infusion, transfusion and therapeutic injection, initial encounter, T80.1XXA — Vascular complications following infusion, transfusion and therapeutic injection, initial encounter, T80.22XA — Acute infection following transfusion, infusion, or injection of blood and blood products, initial encounter, T80.29XA — Infection following other infusion, transfusion and therapeutic injection, initial encounter, T80.30XA — ABO incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter, T80.310A — ABO incompatibility with acute hemolytic transfusion reaction, initial encounter, T80.311A — ABO incompatibility with delayed hemolytic transfusion reaction, initial encounter, T80.319A — ABO incompatibility with hemolytic transfusion reaction, unspecified, initial encounter, T80.39XA — Other ABO incompatibility reaction due to transfusion of blood or blood products, initial encounter, T80.40XA — Rh incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter, T80.410A — Rh incompatibility with acute hemolytic transfusion reaction, initial encounter, T80.411A — Rh incompatibility with delayed hemolytic transfusion reaction, initial encounter, T80.419A — Rh incompatibility with hemolytic transfusion reaction, unspecified, initial encounter, T80.49XA — Other Rh incompatibility reaction due to transfusion of blood or blood products, initial encounter, T80.89XA — Other complications following infusion, transfusion and therapeutic injection, initial encounter, T80.910A — Acute hemolytic transfusion reaction, unspecified incompatibility, initial encounter, +13 more
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Postprocedural or postoperative respiratory system complication).
J95.61 — 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, J95.84 — Transfusion-related acute lung injury (TRALI), J95.850 — Mechanical complication of respirator, J95.851 — Ventilator associated pneumonia, J95.859 — Other complication of respirator [ventilator], J95.860 — Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure, J95.861 — Postprocedural hematoma of a respiratory system organ or structure following other 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, J95.88 — Other intraoperative complications of respiratory system, not elsewhere classified, J95.89 — Other postprocedural complications and disorders of respiratory system, not elsewhere classified, +11 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Dyspnea”; these codes share that main term but sit in a different category of the Tabular List.
F45.8 — Other somatoform disorders (functional), J44.89 — Other specified chronic obstructive pulmonary disease (asthmatic, with, bronchitis, chronic), J45.901 — Unspecified asthma with (acute) exacerbation (asthmatic, with, exacerbation), J45.902 — Unspecified asthma with status asthmaticus (asthmatic, with, status asthmaticus), J45.909 — Unspecified asthma, uncomplicated (asthmatic), P28.89 — Other specified respiratory conditions of newborn (newborn), R06.00 — Dyspnea, unspecified, R06.01 — Orthopnea (orthopnea), R06.02 — Shortness of breath (shortness of breath), R06.09 — Other forms of dyspnea (specified type NEC), R06.4 — Hyperventilation (hyperventilation)
Contextual Map
Every relationship of J95.87 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 J95.87 with these 2 related codes in Claim Check
Hierarchy
- J00-J99 — Chapter 10: Diseases of the Respiratory System (J00-J99) (J00-J99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Excludes1
- E87.71 — Transfusion associated circulatory overload[Excludes1]: “transfusion associated circulatory overload (TACO) (E87.71)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- J95.84 — Transfusion-related acute lung injury (TRALI)[Excludes1]: “transfusion-related acute lung injury (TRALI) (J95.84)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- RSP017 — Postprocedural or postoperative respiratory system complication[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
- DRG 205 — OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC[MS-DRG]: “OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 206 — OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC[MS-DRG]: “OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 791 — PREMATURITY WITH MAJOR PROBLEMS[MS-DRG]: “PREMATURITY WITH MAJOR PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS[MS-DRG]: “FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
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. 4,000 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
- 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 · FY2027
Index entries
- Dyspnea (nocturnal) (paroxysmal), transfusion-associated [TAD][Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- TAD (transfusion-associated dyspnea)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (40)
- J95 — Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- J95.0 — Tracheostomy complications[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- J95.00 — Unspecified tracheostomy complication[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- J95.01 — Hemorrhage from tracheostomy stoma[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- J95.02 — Infection of tracheostomy stoma[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- J95.03 — Malfunction of tracheostomy stoma[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- J95.04 — Tracheo-esophageal fistula following tracheostomy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- J95.09 — Other tracheostomy complication[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 32 more
Change history
- FY2023 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2023
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Indexed Clinical Terms (2)
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.
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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 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 — v44 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-derived 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 editorial 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.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
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. "J95.87 — Transfusion-associated dyspnea (TAD)." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/j95.87-transfusion-associated-dyspnea-tad
Change history
- FY2023 — October 1, 2022Added to the code setTransfusion-associated dyspnea (TAD)FY2023 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to J95.87 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
- J95.861 — Postprocedural hematoma of a respiratory system organ or structure following other 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
- J95.88 — Other intraoperative complications of respiratory system, not elsewhere classified