ICD-10 J95.830
Billable / Specific CCPostprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure
About ICD-10-CM J95.830
ICD-10-CM code J95.830 represents Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure. This is a billable/specific code in the Respiratory System chapter (block J95). The 2026 edition of ICD-10-CM J95.830 became effective on October 1, 2025.
Coding Tips for J95.830
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
J95.830 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for J95.830
Local Coverage Determinations (LCDs) from CMS MACs that list J95.830 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J95.830.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J95.830 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with J95.830
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert J95.830 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| J95.830 | 99811 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To J95.830
Other codes in section J95 (Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified).
ICD-10 J95.830, Billing FAQ
Is ICD-10 code J95.830 billable? +
Yes, J95.830 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is J95.830 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does J95.830 map to? +
Per CMS GEMs, J95.830 maps to ICD-9 codes: 99811. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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