J95.3Chronic pulmonary insufficiency following surgery

J95.3 is the ICD-10-CM diagnosis code for chronic pulmonary insufficiency following surgery. 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 (intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified), J95.3 is specifically for chronic pulmonary insufficiency following surgery. Related codes cover tracheostomy complications (J95.0), acute pulmonary insufficiency following thoracic surgery (J95.1), acute pulmonary insufficiency following nonthoracic surgery (J95.2), chemical pneumonitis due to anesthesia (J95.4), postprocedural subglottic stenosis (J95.5), intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure (J95.6), accidental puncture and laceration of a respiratory system organ or structure during a procedure (J95.7) and other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (J95.8).

The conditions in its Excludes2 note aren't part of J95.3, but may be coded alongside it if the patient has both: Functional disturbances following cardiac surgery (I97.0, I97.1-).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" 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 189 (Pulmonary Edema and Respiratory Failure, relative weight 1.2108), DRG 791 (Prematurity with Major Problems, relative weight 4.1075), DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), DRG 928 (Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC, relative weight 7.6477), DRG 929 (Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC, relative weight 3.0193) and DRG 934 (Full Thickness Burn without Skin Graft or Inhalation Injury, relative weight 1.9895), in MDC 04 (Diseases and Disorders of the Respiratory System), MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period) and MDC 22 (Burns), 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 518.52 (other pulmonary insufficiency, not elsewhere classified, following trauma and surgery).