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ICD-10-CM 2027 diagnosis code

J95.09Other tracheostomy complication

✓ Billable / specificCC — complication/comorbidity

J95.09 is a valid, billable ICD-10-CM code for other tracheostomy complication. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About J95.09

J95.09 is the ICD-10-CM diagnosis code for other tracheostomy complication. It belongs to category J95 (intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified), block J95 (intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified) and chapter 10 (diseases of the respiratory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within J95.0, choose J95.09 (Other tracheostomy complication) only when documentation doesn't support a more specific option: unspecified tracheostomy complication (J95.00), hemorrhage from tracheostomy stoma (J95.01), infection of tracheostomy stoma (J95.02), malfunction of tracheostomy stoma (J95.03) and tracheo-esophageal fistula following tracheostomy (J95.04).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC, relative weight 5.6154), DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC, relative weight 4.381), DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC, relative weight 2.7307), DRG 205 (Other Respiratory System Diagnoses with MCC, relative weight 1.8244) and DRG 206 (Other Respiratory System Diagnoses without MCC, relative weight 0.9257), in Pre-MDC and MDC 04 (Diseases and Disorders of the Respiratory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 519.09 (other tracheostomy complications).

Notes that apply from higher levels

Instructions written at a parent level also apply to J95.09.

› From J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
Excludes2
  • aspiration pneumonia (J69.-)
  • emphysema (subcutaneous) resulting from a procedure (T81.82)
  • hypostatic pneumonia (J18.2)
  • pulmonary manifestations due to radiation (J70.0-J70.1)

Broader instructions also apply from Chapter 10: Diseases of the respiratory system.

Alphabetic index entries

3 entries

Terms in the official ICD-10-CM index that lead to J95.09.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 519.09Other tracheostomy complicationsapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about J95.09

Is J95.09 billable?

Yes. J95.09 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can J95.09 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict J95.09 as a principal diagnosis.

Is J95.09 a CC or MCC?

J95.09 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does J95.09 group to?

J95.09 is used in the MS-DRG v44.0 logic for MS-DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC), MS-DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC), MS-DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC), MS-DRG 205 (Other Respiratory System Diagnoses with MCC) and MS-DRG 206 (Other Respiratory System Diagnoses without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for J95.09?

The CMS General Equivalence Mappings map J95.09 to ICD-9-CM 519.09.