2017/18 ICD-10-CM Diagnosis Code J95.4

Chemical pneumonitis due to anesthesia

Applicable To
  • Mendelson's syndrome
  • Postprocedural aspiration pneumonia
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (
    ICD-10-CM Diagnosis Code T41
    • T41 Poisoning by, adverse effect of and underdosi...
      • T41.0 Poisoning by, adverse effect of and underdosi...
        • T41.0X Poisoning by, adverse effect of and underdosi...
          • T41.0X1 Poisoning by inhaled anesthetics, accidental ...
            • T41.0X1A Poisoning by inhaled anesthetics, accidental ...
            • T41.0X1D Poisoning by inhaled anesthetics, accidental ...
            • T41.0X1S Poisoning by inhaled anesthetics, accidental ...
          • T41.0X2 Poisoning by inhaled anesthetics, intentional...
            • T41.0X2A Poisoning by inhaled anesthetics, intentional...
            • T41.0X2D Poisoning by inhaled anesthetics, intentional...
            • T41.0X2S Poisoning by inhaled anesthetics, intentional...
          • T41.0X3 Poisoning by inhaled anesthetics, assault
            • T41.0X3A Poisoning by inhaled anesthetics, assault, in...
            • T41.0X3D Poisoning by inhaled anesthetics, assault, su...
            • T41.0X3S Poisoning by inhaled anesthetics, assault, se...
          • T41.0X4 Poisoning by inhaled anesthetics, undetermine...
            • T41.0X4A Poisoning by inhaled anesthetics, undetermine...
            • T41.0X4D Poisoning by inhaled anesthetics, undetermine...
            • T41.0X4S Poisoning by inhaled anesthetics, undetermine...
          • T41.0X5 Adverse effect of inhaled anesthetics
            • T41.0X5A Adverse effect of inhaled anesthetics, initia...
            • T41.0X5D Adverse effect of inhaled anesthetics, subseq...
            • T41.0X5S Adverse effect of inhaled anesthetics, sequel...
          • T41.0X6 Underdosing of inhaled anesthetics
            • T41.0X6A Underdosing of inhaled anesthetics, initial e...
            • T41.0X6D Underdosing of inhaled anesthetics, subsequen...
            • T41.0X6S …… sequela
      • T41.1 Poisoning by, adverse effect of and underdosi...
        • T41.1X Poisoning by, adverse effect of and underdosi...
          • T41.1X1 Poisoning by intravenous anesthetics, acciden...
            • T41.1X1A Poisoning by intravenous anesthetics, acciden...
            • T41.1X1D Poisoning by intravenous anesthetics, acciden...
            • T41.1X1S Poisoning by intravenous anesthetics, acciden...
          • T41.1X2 Poisoning by intravenous anesthetics, intenti...
            • T41.1X2A Poisoning by intravenous anesthetics, intenti...
            • T41.1X2D Poisoning by intravenous anesthetics, intenti...
            • T41.1X2S Poisoning by intravenous anesthetics, intenti...
          • T41.1X3 Poisoning by intravenous anesthetics, assault...
            • T41.1X3A Poisoning by intravenous anesthetics, assault...
            • T41.1X3D Poisoning by intravenous anesthetics, assault...
            • T41.1X3S Poisoning by intravenous anesthetics, assault...
          • T41.1X4 Poisoning by intravenous anesthetics, undeter...
            • T41.1X4A Poisoning by intravenous anesthetics, undeter...
            • T41.1X4D Poisoning by intravenous anesthetics, undeter...
            • T41.1X4S Poisoning by intravenous anesthetics, undeter...
          • T41.1X5 Adverse effect of intravenous anesthetics
            • T41.1X5A Adverse effect of intravenous anesthetics, in...
            • T41.1X5D Adverse effect of intravenous anesthetics, su...
            • T41.1X5S Adverse effect of intravenous anesthetics, se...
          • T41.1X6 Underdosing of intravenous anesthetics
            • T41.1X6A Underdosing of intravenous anesthetics, initi...
            • T41.1X6D Underdosing of intravenous anesthetics, subse...
            • T41.1X6S Underdosing of intravenous anesthetics, seque...
      • T41.2 Poisoning by, adverse effect of and underdosi...
        • T41.20 Poisoning by, adverse effect of and underdosi...
          • T41.201 Poisoning by unspecified general anesthetics,...
            • T41.201A Poisoning by unspecified general anesthetics,...
            • T41.201D Poisoning by unspecified general anesthetics,...
            • T41.201S Poisoning by unspecified general anesthetics,...
          • T41.202 Poisoning by unspecified general anesthetics,...
            • T41.202A Poisoning by unspecified general anesthetics,...
            • T41.202D Poisoning by unspecified general anesthetics,...
            • T41.202S Poisoning by unspecified general anesthetics,...
          • T41.203 Poisoning by unspecified general anesthetics,...
            • T41.203A Poisoning by unspecified general anesthetics,...
            • T41.203D Poisoning by unspecified general anesthetics,...
            • T41.203S Poisoning by unspecified general anesthetics,...
          • T41.204 Poisoning by unspecified general anesthetics,...
            • T41.204A Poisoning by unspecified general anesthetics,...
            • T41.204D Poisoning by unspecified general anesthetics,...
            • T41.204S Poisoning by unspecified general anesthetics,...
          • T41.205 Adverse effect of unspecified general anesthe...
            • T41.205A Adverse effect of unspecified general anesthe...
            • T41.205D Adverse effect of unspecified general anesthe...
            • T41.205S Adverse effect of unspecified general anesthe...
          • T41.206 Underdosing of unspecified general anesthetic...
            • T41.206A Underdosing of unspecified general anesthetic...
            • T41.206D Underdosing of unspecified general anesthetic...
            • T41.206S Underdosing of unspecified general anesthetic...
        • T41.29 Poisoning by, adverse effect of and underdosi...
          • T41.291 Poisoning by other general anesthetics, accid...
            • T41.291A Poisoning by other general anesthetics, accid...
            • T41.291D Poisoning by other general anesthetics, accid...
            • T41.291S Poisoning by other general anesthetics, accid...
          • T41.292 Poisoning by other general anesthetics, inten...
            • T41.292A Poisoning by other general anesthetics, inten...
            • T41.292D Poisoning by other general anesthetics, inten...
            • T41.292S Poisoning by other general anesthetics, inten...
          • T41.293 Poisoning by other general anesthetics, assau...
            • T41.293A Poisoning by other general anesthetics, assau...
            • T41.293D Poisoning by other general anesthetics, assau...
            • T41.293S Poisoning by other general anesthetics, assau...
          • T41.294 Poisoning by other general anesthetics, undet...
            • T41.294A Poisoning by other general anesthetics, undet...
            • T41.294D Poisoning by other general anesthetics, undet...
            • T41.294S Poisoning by other general anesthetics, undet...
          • T41.295 Adverse effect of other general anesthetics
            • T41.295A Adverse effect of other general anesthetics, ...
            • T41.295D Adverse effect of other general anesthetics, ...
            • T41.295S Adverse effect of other general anesthetics, ...
          • T41.296 Underdosing of other general anesthetics
            • T41.296A Underdosing of other general anesthetics, ini...
            • T41.296D Underdosing of other general anesthetics, sub...
            • T41.296S Underdosing of other general anesthetics, seq...
      • T41.3 Poisoning by, adverse effect of and underdosi...
        • T41.3X Poisoning by, adverse effect of and underdosi...
          • T41.3X1 Poisoning by local anesthetics, accidental (u...
            • T41.3X1A Poisoning by local anesthetics, accidental (u...
            • T41.3X1D Poisoning by local anesthetics, accidental (u...
            • T41.3X1S Poisoning by local anesthetics, accidental (u...
          • T41.3X2 Poisoning by local anesthetics, intentional s...
            • T41.3X2A Poisoning by local anesthetics, intentional s...
            • T41.3X2D Poisoning by local anesthetics, intentional s...
            • T41.3X2S Poisoning by local anesthetics, intentional s...
          • T41.3X3 Poisoning by local anesthetics, assault
            • T41.3X3A Poisoning by local anesthetics, assault, init...
            • T41.3X3D Poisoning by local anesthetics, assault, subs...
            • T41.3X3S Poisoning by local anesthetics, assault, sequ...
          • T41.3X4 Poisoning by local anesthetics, undetermined
            • T41.3X4A Poisoning by local anesthetics, undetermined,...
            • T41.3X4D Poisoning by local anesthetics, undetermined,...
            • T41.3X4S Poisoning by local anesthetics, undetermined,...
          • T41.3X5 Adverse effect of local anesthetics
            • T41.3X5A Adverse effect of local anesthetics, initial ...
            • T41.3X5D Adverse effect of local anesthetics, subseque...
            • T41.3X5S …… sequela
          • T41.3X6 Underdosing of local anesthetics
            • T41.3X6A Underdosing of local anesthetics, initial enc...
            • T41.3X6D Underdosing of local anesthetics, subsequent ...
            • T41.3X6S …… sequela
      • T41.4 Poisoning by, adverse effect of and underdosi...
        • T41.41 Poisoning by unspecified anesthetic, accident...
          • T41.41XA Poisoning by unspecified anesthetic, accident...
          • T41.41XD Poisoning by unspecified anesthetic, accident...
          • T41.41XS Poisoning by unspecified anesthetic, accident...
        • T41.42 Poisoning by unspecified anesthetic, intentio...
          • T41.42XA Poisoning by unspecified anesthetic, intentio...
          • T41.42XD Poisoning by unspecified anesthetic, intentio...
          • T41.42XS Poisoning by unspecified anesthetic, intentio...
        • T41.43 Poisoning by unspecified anesthetic, assault
          • T41.43XA Poisoning by unspecified anesthetic, assault,...
          • T41.43XD Poisoning by unspecified anesthetic, assault,...
          • T41.43XS Poisoning by unspecified anesthetic, assault,...
        • T41.44 Poisoning by unspecified anesthetic, undeterm...
          • T41.44XA Poisoning by unspecified anesthetic, undeterm...
          • T41.44XD Poisoning by unspecified anesthetic, undeterm...
          • T41.44XS Poisoning by unspecified anesthetic, undeterm...
        • T41.45 Adverse effect of unspecified anesthetic
          • T41.45XA Adverse effect of unspecified anesthetic, ini...
          • T41.45XD Adverse effect of unspecified anesthetic, sub...
          • T41.45XS Adverse effect of unspecified anesthetic, seq...
        • T41.46 Underdosing of unspecified anesthetics
          • T41.46XA Underdosing of unspecified anesthetics, initi...
          • T41.46XD Underdosing of unspecified anesthetics, subse...
          • T41.46XS Underdosing of unspecified anesthetics, seque...
      • T41.5 Poisoning by, adverse effect of and underdosi...
        • T41.5X Poisoning by, adverse effect of and underdosi...
          • T41.5X1 Poisoning by therapeutic gases, accidental (u...
            • T41.5X1A Poisoning by therapeutic gases, accidental (u...
            • T41.5X1D Poisoning by therapeutic gases, accidental (u...
            • T41.5X1S Poisoning by therapeutic gases, accidental (u...
          • T41.5X2 Poisoning by therapeutic gases, intentional s...
            • T41.5X2A Poisoning by therapeutic gases, intentional s...
            • T41.5X2D Poisoning by therapeutic gases, intentional s...
            • T41.5X2S Poisoning by therapeutic gases, intentional s...
          • T41.5X3 Poisoning by therapeutic gases, assault
            • T41.5X3A Poisoning by therapeutic gases, assault, init...
            • T41.5X3D Poisoning by therapeutic gases, assault, subs...
            • T41.5X3S Poisoning by therapeutic gases, assault, sequ...
          • T41.5X4 Poisoning by therapeutic gases, undetermined
            • T41.5X4A Poisoning by therapeutic gases, undetermined,...
            • T41.5X4D Poisoning by therapeutic gases, undetermined,...
            • T41.5X4S Poisoning by therapeutic gases, undetermined,...
          • T41.5X5 Adverse effect of therapeutic gases
            • T41.5X5A Adverse effect of therapeutic gases, initial ...
            • T41.5X5D Adverse effect of therapeutic gases, subseque...
            • T41.5X5S …… sequela
          • T41.5X6 Underdosing of therapeutic gases
            • T41.5X6A Underdosing of therapeutic gases, initial enc...
            • T41.5X6D Underdosing of therapeutic gases, subsequent ...
            • T41.5X6S …… sequela
    T41.-
    with fifth or sixth character 5)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J95.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • aspiration pneumonitis due to anesthesia complicating labor and delivery (
    ICD-10-CM Diagnosis Code O74.0

    Aspiration pneumonitis due to anesthesia during labor and delivery

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Inhalation of stomach contents or secretions NOS due to anesthesia during labor and delivery
    • Mendelson's syndrome due to anesthesia during labor and delivery
    O74.0
    )
  • aspiration pneumonitis due to anesthesia complicating pregnancy (
    ICD-10-CM Diagnosis Code O29

    Complications of anesthesia during pregnancy

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during pregnancy
    Type 2 Excludes
    • complications of anesthesia during labor and delivery (O74.-)
    • complications of anesthesia during the puerperium (O89.-)
    Use Additional
    • code, if necessary, to identify the complication
    O29
    )
  • aspiration pneumonitis due to anesthesia complicating the puerperium (
    ICD-10-CM Diagnosis Code O89.01

    Aspiration pneumonitis due to anesthesia during the puerperium

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Inhalation of stomach contents or secretions NOS due to anesthesia during the puerperium
    • Mendelson's syndrome due to anesthesia during the puerperium
    O89.01
    )
The following code(s) above J95.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to J95.4:
  • J00-J99
    2018 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • smoke inhalation (T59.81-)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Use Additional
    • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Diseases of the respiratory system
  • J95
    ICD-10-CM Diagnosis Code J95

    Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • aspiration pneumonia (J69.-)
    • emphysema (subcutaneous) resulting from a procedure (T81.82)
    • hypostatic pneumonia (J18.2)
    • pulmonary manifestations due to radiation (J70.0-J70.1)
    Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
ICD-10-CM J95.4 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert J95.4 to ICD-9-CM

Code History
Code annotations containing back-references to J95.4:

Diagnosis Index entries containing back-references to J95.4:

ICD-10-CM Codes Adjacent To J95.4
J95.0 Tracheostomy complications
J95.00 Unspecified tracheostomy complication
J95.01 Hemorrhage from tracheostomy stoma
J95.02 Infection of tracheostomy stoma
J95.03 Malfunction of tracheostomy stoma
J95.04 Tracheo-esophageal fistula following tracheostomy
J95.09 Other tracheostomy complication
J95.1 Acute pulmonary insufficiency following thoracic surgery
J95.2 Acute pulmonary insufficiency following nonthoracic surgery
J95.3 Chronic pulmonary insufficiency following surgery
J95.4 Chemical pneumonitis due to anesthesia
J95.5 Postprocedural subglottic stenosis
J95.6 Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a procedure
J95.61 Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure
J95.62 Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure
J95.7 Accidental puncture and laceration of a respiratory system organ or structure during a procedure
J95.71 Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure
J95.72 Accidental puncture and laceration of a respiratory system organ or structure during other procedure
J95.8 Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
J95.81 Postprocedural pneumothorax and air leak
J95.811 Postprocedural pneumothorax

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.