2023

  1. ICD-10-CM Codes
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  2. J00-J99
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  3. J95-J95
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  4. J95-
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  5. 2023 ICD-10-CM Diagnosis Code J95.851

2023 ICD-10-CM Diagnosis Code J95.851

Ventilator associated pneumonia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • J95.851 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM J95.851 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of J95.851 - other international versions of ICD-10 J95.851 may differ.
Applicable To
  • Ventilator associated pneumonitis
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 to identify the organism, if known (
    ICD-10-CM Diagnosis Code B95
    • B95 Streptococcus, Staphylococcus, and Enterococc...
      • B95.0 Streptococcus, group A, as the cause of disea...
      • B95.1 Streptococcus, group B, as the cause of disea...
      • B95.2 Enterococcus as the cause of diseases classif...
      • B95.3 Streptococcus pneumoniae as the cause of dise...
      • B95.4 Other streptococcus as the cause of diseases ...
      • B95.5 Unspecified streptococcus as the cause of dis...
      • B95.6 Staphylococcus aureus as the cause of disease...
        • B95.61 Methicillin susceptible Staphylococcus aureus...
        • B95.62 Methicillin resistant Staphylococcus aureus i...
      • B95.7 Other staphylococcus as the cause of diseases...
      • B95.8 Unspecified staphylococcus as the cause of di...
    B95.-
    ,
    ICD-10-CM Diagnosis Code B96
    • B96 Other bacterial agents as the cause of diseas...
      • B96.0 Mycoplasma pneumoniae [M. pneumoniae] as the ...
      • B96.1 Klebsiella pneumoniae [K. pneumoniae] as the ...
      • B96.2 Escherichia coli [E. coli ] as the cause of d...
        • B96.20 Unspecified Escherichia coli [E. coli] as the...
        • B96.21 Shiga toxin-producing Escherichia coli [E. co...
        • B96.22 Other specified Shiga toxin-producing Escheri...
        • B96.23 Unspecified Shiga toxin-producing Escherichia...
        • B96.29 Other Escherichia coli [E. coli] as the cause...
      • B96.3 Hemophilus influenzae [H. influenzae] as the ...
      • B96.4 Proteus (mirabilis) (morganii) as the cause o...
      • B96.5 Pseudomonas (aeruginosa) (mallei) (pseudomall...
      • B96.6 Bacteroides fragilis [B. fragilis] as the cau...
      • B96.7 Clostridium perfringens [C. perfringens] as t...
      • B96.8 Other specified bacterial agents as the cause...
        • B96.81 Helicobacter pylori [H. pylori] as the cause ...
        • B96.82 Vibrio vulnificus as the cause of diseases cl...
        • B96.89 Other specified bacterial agents as the cause...
    B96.-
    ,
    ICD-10-CM Diagnosis Code B97
    • B97 Viral agents as the cause of diseases classif...
      • B97.0 Adenovirus as the cause of diseases classifie...
      • B97.1 Enterovirus as the cause of diseases classifi...
        • B97.10 Unspecified enterovirus as the cause of disea...
        • B97.11 Coxsackievirus as the cause of diseases class...
        • B97.12 Echovirus as the cause of diseases classified...
        • B97.19 Other enterovirus as the cause of diseases cl...
      • B97.2 Coronavirus as the cause of diseases classifi...
        • B97.21 SARS-associated coronavirus as the cause of d...
        • B97.29 Other coronavirus as the cause of diseases cl...
      • B97.3 Retrovirus as the cause of diseases classifie...
        • B97.30 Unspecified retrovirus as the cause of diseas...
        • B97.31 Lentivirus as the cause of diseases classifie...
        • B97.32 Oncovirus as the cause of diseases classified...
        • B97.33 Human T-cell lymphotrophic virus, type I [HTL...
        • B97.34 Human T-cell lymphotrophic virus, type II [HT...
        • B97.35 Human immunodeficiency virus, type 2 [HIV 2] ...
        • B97.39 Other retrovirus as the cause of diseases cla...
      • B97.4 Respiratory syncytial virus as the cause of d...
      • B97.5 Reovirus as the cause of diseases classified ...
      • B97.6 Parvovirus as the cause of diseases classifie...
      • B97.7 Papillomavirus as the cause of diseases class...
      • B97.8 Other viral agents as the cause of diseases c...
        • B97.81 Human metapneumovirus as the cause of disease...
        • B97.89 Other viral agents as the cause of diseases c...
    B97.-
    )
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 J95.851. 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.
  • ventilator lung in newborn (
    ICD-10-CM Diagnosis Code P27.8

    Other chronic respiratory diseases originating in the perinatal period

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Congenital pulmonary fibrosis
    • Ventilator lung in newborn
    P27.8
    )
The following code(s) above J95.851 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 J95.851:
  • J00-J99
    2023 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 2019 2020 2021 2022 2023 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
Approximate Synonyms
  • Ventilator-acquired pneumonia
Clinical Information
  • Serious inflammation of the lung in patients who required the use of pulmonary ventilator. It is usually caused by cross bacterial infections in hospitals (nosocomial infections).
ICD-10-CM J95.851 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 205 Other respiratory system diagnoses with mcc
  • 206 Other respiratory system diagnoses without mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert J95.851 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
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to J95.851:
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
    ICD-10-CM Diagnosis Code J18.9

    Pneumonia, unspecified organism

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • ventilator associated J95.851
  • Pneumonitis (acute) (primary) - see also Pneumonia
    • due to
      • ventilator J95.851
    • ventilator associated J95.851

ICD-10-CM Codes Adjacent To J95.851
J95.812 Postprocedural air leak
J95.82 Postprocedural respiratory failure
J95.821 Acute postprocedural respiratory failure
J95.822 Acute and chronic postprocedural respiratory failure
J95.83 Postprocedural hemorrhage of a respiratory system organ or structure following a procedure
J95.830 Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure
J95.831 Postprocedural hemorrhage of a respiratory system organ or structure following other procedure
J95.84 Transfusion-related acute lung injury (TRALI)
J95.85 Complication of respirator [ventilator]
J95.850 Mechanical complication of respirator
J95.851 Ventilator associated pneumonia
J95.859 Other complication of respirator [ventilator]
J95.86 Postprocedural hematoma and seroma of a respiratory system organ or structure following a procedure
J95.860 Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
J95.861 Postprocedural hematoma of a respiratory system organ or structure following other procedure
J95.862 Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure
J95.863 Postprocedural seroma of a respiratory system organ or structure following other procedure
J95.87 Transfusion-associated dyspnea (TAD)
J95.88 Other intraoperative complications of respiratory system, not elsewhere classified
J95.89 Other postprocedural complications and disorders of respiratory system, not elsewhere classified
J96 Respiratory failure, not elsewhere classified

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

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