All ICD10 Codes

J91

Non-Billable
ChapterJ00–J99
Rankcategory
Official Description

Pleural effusion in conditions classified elsewhere

Use a more specific code (2 billable)
J91.0Malignant pleural effusionJ91.8Pleural effusion in other conditions classified elsewhere
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •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

Excludes2(Not included here. Code separately if applicable.)
  • pleural effusion in heart failure (I50.-)
  • pleural effusion in systemic lupus erythematosus (M32.13)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J90-J94Other diseases of the pleura (J90-J94)
J91Pleural effusion in conditions classified elsewhereNot billable
J91.0Malignant pleural effusionBillable
J91.8Pleural effusion in other conditions classified elsewhereBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J91:

chapterCH10
Diseases of the respiratory system (J00-J99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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