ICD-10 Code J95.02 – Infection of tracheostomy stoma (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code J95.02 – Infection of tracheostomy stoma
What it is
J95.02 identifies an infection involving the skin or tissue around a tracheostomy stoma. Use it when the record documents a stoma infection related to the tracheostomy site.
Clinical signs
Typical findings include redness, swelling, pain, drainage, or local tenderness around the tracheostomy opening. Clinical features vary; refer to documentation for the specific infection description.
When to use this code
Use J95.02 when the provider documents infection at the tracheostomy stoma, including postoperative or device-related site infection. Code it from clear clinical documentation, not from routine stoma care or expected irritation alone.
If the note only describes inflammation, leakage, or a complication without infection, check documentation before assigning this code. Confirm the infection is specifically tied to the tracheostomy stoma.
Do not use for
Do not use this code for tracheitis, pneumonia, or other respiratory infections unless the stoma itself is documented as infected. Do not assign it for noninfectious skin irritation.
Coding tip
Look for the exact phrase “infection of tracheostomy stoma” or an equivalent documented diagnosis before coding J95.02.