ICD-10 code for tracheostomy complication

The ICD-10-CM code for tracheostomy complication is J95.00 (Unspecified tracheostomy complication). The official index lists 8 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on J95.00.

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

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.