ICD-10-CM 2027 diagnosis code
J95.859Other complication of respirator [ventilator]
J95.859 is a valid, billable ICD-10-CM code for other complication of respirator [ventilator]. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About J95.859
J95.859 is the ICD-10-CM diagnosis code for other complication of respirator [ventilator]. It belongs to category J95 (intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified), block J95 (intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified) and chapter 10 (diseases of the respiratory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within J95.85, choose J95.859 (Other complication of respirator [ventilator]) only when documentation doesn't support a more specific option: mechanical complication of respirator (J95.850) and ventilator associated pneumonia (J95.851).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 205 (Other Respiratory System Diagnoses with MCC, relative weight 1.8244), DRG 206 (Other Respiratory System Diagnoses without MCC, relative weight 0.9257), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 04 (Diseases and Disorders of the Respiratory System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 997.39 (other respiratory complications).
Notes that apply from higher levels
Instructions written at a parent level also apply to J95.859.
Broader instructions also apply from Chapter 10: Diseases of the respiratory system.
Alphabetic index entries
4 entriesTerms in the official ICD-10-CM index that lead to J95.859.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 04 · Diseases and Disorders of the Respiratory System
MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period
MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period
ICD-9-CM equivalent
Converter →- 997.39Other respiratory complicationsapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about J95.859
Is J95.859 billable?
- Yes. J95.859 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can J95.859 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict J95.859 as a principal diagnosis.
Is J95.859 a CC or MCC?
- J95.859 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does J95.859 group to?
- J95.859 is used in the MS-DRG v44.0 logic for MS-DRG 205 (Other Respiratory System Diagnoses with MCC), MS-DRG 206 (Other Respiratory System Diagnoses without MCC), MS-DRG 791 (Prematurity with Major Problems) and MS-DRG 793 (Full Term Neonate with Major Problems). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for J95.859?
- The CMS General Equivalence Mappings map J95.859 to ICD-9-CM 997.39.