ICD-10-CM Codes
J00-J99 Diseases of the respiratory system
J95-J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
J95- Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

2019 ICD-10-CM Diagnosis Code J95.03

Malfunction of tracheostomy stoma

2016

2017

2018

2019

Billable/Specific Code

J95.03 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2019 edition of ICD-10-CM J95.03 became effective on October 1, 2018.
This is the American ICD-10-CM version of J95.03 - other international versions of ICD-10 J95.03 may differ.

Applicable To

Mechanical complication of tracheostomy stoma
Obstruction of tracheostomy airway
Tracheal stenosis due to tracheostomy

The following code(s) above J95.03 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 J95.03:

J00-J99
2019 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
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

Approximate Synonyms

Tracheal stenosis following tracheostomy
Tracheostomy obstruction

ICD-10-CM J95.03 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

011 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with mcc
012 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with cc
013 Tracheostomy for face,mouth & neck diagnoses or laryngectomy without cc/mcc
205 Other respiratory system diagnoses with mcc
206 Other respiratory system diagnoses without mcc

Convert J95.03 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change

Diagnosis Index entries containing back-references to J95.03:

Complication(s) (from) (of)
- tracheostomy J95.00
  ICD-10-CM Diagnosis Code J95.00
  Unspecified tracheostomy complication
  2016 2017 2018 2019 Billable/Specific Code
  - malfunction J95.03
  - mechanical J95.03
  - obstruction J95.03
Malfunction - see also Dysfunction
- tracheostomy J95.03
Obstruction, obstructed, obstructive
- tracheostomy airway J95.03
Stenosis, stenotic (cicatricial) - see also Stricture
- tracheostomy J95.03
Stoma malfunction
- tracheostomy J95.03
Stricture - see also Stenosis
- stoma (following) (of)
  - tracheostomy J95.03
- tracheostomy J95.03
Tracheostomy
- status Z93.0
  ICD-10-CM Diagnosis Code Z93.0
  Tracheostomy status
  2016 2017 2018 2019 Billable/Specific Code POA Exempt
  - malfunctioning J95.03

ICD-10-CM Codes Adjacent To J95.03

J94.0 Chylous effusion

J94.1 Fibrothorax

J94.2 Hemothorax

J94.8 Other specified pleural conditions

J94.9 Pleural condition, unspecified

J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified

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

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

2019 ICD-10-CM Diagnosis Code J95.03

Malfunction of tracheostomy stoma

Diseases of the respiratory system

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

Unspecified tracheostomy complication

Tracheostomy status