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ICD-10-CM 2027 diagnosis code

J95.862Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure

✓ Billable / specificCC — complication/comorbidity

J95.862 is a valid, billable ICD-10-CM code for postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Postproc seroma of a resp sys org fol a resp sys procedure

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About J95.862

J95.862 is the ICD-10-CM diagnosis code for postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure. 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 J95.86 (postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure), J95.862 is specifically for postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure. Related codes cover hematoma of a respiratory system organ or structure following a respiratory system procedure (J95.860), hematoma of a respiratory system organ or structure following other procedure (J95.861) and seroma of a respiratory system organ or structure following other procedure (J95.863).

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 919 (Complications of Treatment with MCC, relative weight 1.763), DRG 920 (Complications of Treatment with CC, relative weight 0.9975) and DRG 921 (Complications of Treatment without CC/MCC, relative weight 0.6722), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), 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 was added in FY2017, effective October 1, 2016.

Before ICD-10, this condition was coded in ICD-9-CM as 998.13 (seroma complicating a procedure).

Notes that apply from higher levels

Instructions written at a parent level also apply to J95.862.

› 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

1 entries

Terms in the official ICD-10-CM index that lead to J95.862.

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 →
  • 998.13Seroma complicating a procedureapproximate

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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about J95.862

Is J95.862 billable?

Yes. J95.862 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can J95.862 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict J95.862 as a principal diagnosis.

Is J95.862 a CC or MCC?

J95.862 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does J95.862 group to?

J95.862 is used in the MS-DRG v44.0 logic for MS-DRG 919 (Complications of Treatment with MCC), MS-DRG 920 (Complications of Treatment with CC) and MS-DRG 921 (Complications of Treatment without CC/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 J95.862?

The CMS General Equivalence Mappings map J95.862 to ICD-9-CM 998.13.