J95.03
Billable codeMalfunction of tracheostomy stoma
The ICD-10 code for malfunction of tracheostomy stoma is J95.03.
Clinical notes
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Mechanical complication of tracheostomy stoma
- Obstruction of tracheostomy airway
- Tracheal stenosis due to tracheostomy
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 51902Approximate match
- 51909Approximate match
Associated MS-DRGs
J95.03 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
- DRG 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
- DRG 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
- DRG 157Dental and Oral Diseases with MCC
- DRG 158Dental and Oral Diseases with CC
- DRG 159Dental and Oral Diseases without CC/MCC
- DRG 205Other Respiratory System Diagnoses with MCC
- DRG 206Other Respiratory System Diagnoses without MCC