J95.02

Infection of tracheostomy stoma

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC211

Respirator Dependence/Tracheostomy Status/Complications

CMS-HCC ESRD V24

HCC82

Respirator Dependence/Tracheostomy Status

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · J95.02
Use additional

code to identify type of infection, such as: cellulitis of neck (L03.221) sepsis (A40, A41.-)

Inherited from J95Intraop and postproc comp and disorders of resp sys, NEC
Excludes 2

aspiration pneumonia (J69.-) emphysema (subcutaneous) resulting from a procedure (T81.82) hypostatic pneumonia (J18.2) pulmonary manifestations due to radiation (J70.0-J70.1)

Inherited from chapter 10Diseases of the respiratory system
Excludes 2

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)

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).

Official Guidelines for J95.02

FY 2026 ›

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