2025 ICD-10-CM code J95.850
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Respiratory System Disorders - Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified Diseases of the respiratory system (J00-J99) Feed
Mechanical complication of a respirator.
Modifiers may apply depending on the circumstances and specific nature of the mechanical complication and subsequent treatment. Consult the relevant payer guidelines.
Medical necessity is established by the presence of a mechanical malfunction of the ventilator impacting the patient's respiratory status requiring intervention. Documentation must clearly support the clinical need for such intervention.
The clinical responsibility falls on the physician or healthcare professional managing the patient's respiratory support and addressing the mechanical complication. This may involve troubleshooting the respirator, adjusting ventilation parameters, or managing resulting complications.
- Diseases of the respiratory system (J00-J99)
- J95 - Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
In simple words: This code describes problems with the breathing machine (ventilator) used during or after a medical procedure. It covers issues directly related to how the machine works, not illnesses caused by the machine itself.
This code classifies mechanical complications arising from the use of a respirator (ventilator) during or after a medical procedure.It encompasses various malfunctions or issues directly related to the respirator's operation that negatively impact the patient's respiratory function. This excludes complications such as ventilator-associated pneumonia.
Example 1: A patient undergoing major abdominal surgery experiences a malfunction of the ventilator causing a temporary cessation of ventilation requiring immediate intervention and readjustment., Post-operatively, a patient's ventilator tubing becomes disconnected causing a brief period of apnea resolved by prompt reconnection, requiring documentation of the event and patient response., A ventilator alarm triggers due to a sensor malfunction, leading to a review and readjustment of ventilator settings and a thorough assessment of the patient's respiratory status.
Detailed documentation should include the type of ventilator used, specifics of the malfunction, time of occurrence, interventions performed, and the patient's response to the intervention and subsequent respiratory status.Any related complications also need to be documented.
** Accurate coding requires detailed documentation to clarify the nature of the mechanical complication and any resulting patient impact.The code should not be used for issues unrelated to the functionality of the ventilator itself.Use additional codes to capture related diagnoses or procedures.
- Payment Status: Active
- Specialties:Respiratory Therapy, Critical Care Medicine, Anesthesiology, Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Intensive Care Unit