ICD-10 code for tracheostomy granuloma

The ICD-10-CM code for tracheostomy granuloma is J95.09 (Other tracheostomy complication).

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.