2025 ICD-10-CM code J95
Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified.
Medical necessity must be established by demonstrating the causal relationship between the procedure and the respiratory complication.The documentation needs to support the diagnosis and any associated treatment provided.Any additional procedures or treatments required to manage the complication should also be clearly documented and justified.
Physicians use this code to document and report respiratory complications that occur during or after medical procedures. It's crucial to ensure proper documentation to support the medical necessity of any subsequent treatments.
In simple words: This code is used for breathing problems that happen during or after a medical procedure, like surgery, when there isn't a more specific code to describe the problem. Examples include issues with a tracheostomy (a breathing tube in the neck).
This code encompasses a range of respiratory complications and disorders arising during or after surgical and other medical procedures, not classified elsewhere.It includes conditions such as tracheostomy malfunction, hemorrhage from tracheostomy stoma, obstruction of tracheostomy airway, sepsis of tracheostomy stoma, and tracheo-oesophageal fistula following tracheostomy.
Example 1: A patient develops a tracheo-esophageal fistula (an abnormal connection between the trachea and esophagus) following a tracheostomy procedure., A patient experiences hemorrhage from their tracheostomy stoma post-operatively., A patient develops sepsis at the tracheostomy stoma site after a tracheostomy.
Documentation should clearly specify the type of respiratory complication, its relationship to the procedure performed, and the clinical manifestations. The physician's notes should provide sufficient detail to justify the use of this code, indicating that the condition is a direct result of the intraoperative or postprocedural period.
** For more detailed information, including specific documentation requirements for each subcategory and potential NCCI edits, refer to the iFrameAI product.
- Specialties:Pulmonology, Critical Care Medicine, Otolaryngology, Thoracic Surgery, General Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital