J90

Billable

ChapterJ00–J99

Rankcategory

Official Description

Pleural effusion, not elsewhere classified

Metadata & Insights

•Billable/specific code (valid for reimbursement).
•Chapter 10: Diseases of the Respiratory System (J00-J99).

CH10 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

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

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)

Instructional Notes

Includes

Encysted pleurisy
Pleural effusion NOS
Pleurisy with effusion (exudative) (serous)

Excludes1(Not coded here. Use a different code.)

chylous (pleural) effusion (J94.0)
malignant pleural effusion (J91.0))
pleurisy NOS (R09.1)
tuberculous pleural effusion (A15.6)

Clinical Hierarchy

BillableHas subcodes

CH10Diseases of the respiratory system (J00-J99)

J90-J94Other diseases of the pleura (J90-J94)

J90Pleural effusion, not elsewhere classifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J90:

chapterCH10

Diseases of the respiratory system (J00-J99)

View context instructions

MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

Pleural Effusion with MCC

Pleural Effusion with CC

Pleural Effusion without CC/MCC

Prematurity with Major Problems

Full Term Neonate with Major Problems

Cross Reference

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