ICD-10-CM Codes
J00-J99 Diseases of the respiratory system
J85-J86 Suppurative and necrotic conditions of the lower respiratory tract
J85- Abscess of lung and mediastinum
2021 ICD-10-CM Diagnosis Code J85.1

2021 ICD-10-CM Diagnosis Code J85.1

Abscess of lung with pneumonia

2016

2017

2018

2019

2020

2021

Billable/Specific Code

J85.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2021 edition of ICD-10-CM J85.1 became effective on October 1, 2020.
This is the American ICD-10-CM version of J85.1 - other international versions of ICD-10 J85.1 may differ.

Code Also

Code Also Help

A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.

the type of pneumonia

The following code(s) above J85.1 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to J85.1:

J00-J99
2021 ICD-10-CM Range J00-J99
Diseases of the respiratory system
Note
- When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
Type 2 Excludes
- 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, 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)
Diseases of the respiratory system
J85
ICD-10-CM Diagnosis Code J85
Abscess of lung and mediastinum
Use Additional
- code (B95-B97) to identify infectious agent.
Abscess of lung and mediastinum

Approximate Synonyms

Lung abscess with pneumonia

ICD-10-CM J85.1 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):

177 Respiratory infections and inflammations with mcc
178 Respiratory infections and inflammations with cc
179 Respiratory infections and inflammations without cc/mcc
791 Prematurity with major problems
793 Full term neonate with major problems

Convert J85.1 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change

Code annotations containing back-references to J85.1:

Code Also: J09.X1
, J10.0
, J11.0
, J12
, J13
, J14
, J15
, J16

ICD-10-CM Diagnosis Code J09.X1
Influenza due to identified novel influenza A virus with pneumonia
Code Also
- , if applicable, associated:
- lung abscess (J85.1)
- other specified type of pneumonia
ICD-10-CM Diagnosis Code J10.0
Influenza due to other identified influenza virus with pneumonia
Code Also
- associated lung abscess, if applicable (J85.1)
ICD-10-CM Diagnosis Code J11.0
Influenza due to unidentified influenza virus with pneumonia
Code Also
- associated lung abscess, if applicable (J85.1)
ICD-10-CM Diagnosis Code J12
Viral pneumonia, not elsewhere classified
Code First
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code Also
- associated abscess, if applicable (J85.1)
Includes
- bronchopneumonia due to viruses other than influenza viruses
Type 1 Excludes
- aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
- aspiration pneumonia due to anesthesia during pregnancy (O29)
- aspiration pneumonia due to anesthesia during puerperium (O89.0)
- aspiration pneumonia due to solids and liquids (J69.-)
- aspiration pneumonia NOS (J69.0)
- congenital pneumonia (P23.0)
- congenital rubella pneumonitis (P35.0)
- interstitial pneumonia NOS (J84.9)
- lipid pneumonia (J69.1)
- neonatal aspiration pneumonia (P24.-)
ICD-10-CM Diagnosis Code J13
Pneumonia due to Streptococcus pneumoniae
Applicable To
- Bronchopneumonia due to S. pneumoniae
Code First
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code Also
- associated abscess, if applicable (J85.1)
Type 1 Excludes
- congenital pneumonia due to S. pneumoniae (P23.6)
- lobar pneumonia, unspecified organism (J18.1)
- pneumonia due to other streptococci (J15.3-J15.4)
ICD-10-CM Diagnosis Code J14
Pneumonia due to Hemophilus influenzae
Applicable To
- Bronchopneumonia due to H. influenzae
Code First
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code Also
- associated abscess, if applicable (J85.1)
Type 1 Excludes
- congenital pneumonia due to H. influenzae (P23.6)
ICD-10-CM Diagnosis Code J15
Bacterial pneumonia, not elsewhere classified
Code First
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code Also
- associated abscess, if applicable (J85.1)
Includes
- bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae
Type 1 Excludes
- chlamydial pneumonia (J16.0)
- congenital pneumonia (P23.-)
- Legionnaires' disease (A48.1)
- spirochetal pneumonia (A69.8)
ICD-10-CM Diagnosis Code J16
Pneumonia due to other infectious organisms, not elsewhere classified
Code First
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Code Also
- associated abscess, if applicable (J85.1)
Type 1 Excludes
- congenital pneumonia (P23.-)
- ornithosis (A70)
- pneumocystosis (B59)
- pneumonia NOS (J18.9)
Type 1 Excludes: J18

ICD-10-CM Diagnosis Code J18
Pneumonia, unspecified organism
Code First
- associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Type 1 Excludes
- abscess of lung with pneumonia (J85.1)
- aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
- aspiration pneumonia due to anesthesia during pregnancy (O29)
- aspiration pneumonia due to anesthesia during puerperium (O89.0)
- aspiration pneumonia due to solids and liquids (J69.-)
- aspiration pneumonia NOS (J69.0)
- congenital pneumonia (P23.0)
- drug-induced interstitial lung disorder (J70.2-J70.4)
- interstitial pneumonia NOS (J84.9)
- lipid pneumonia (J69.1)
- neonatal aspiration pneumonia (P24.-)
- pneumonitis due to external agents (J67-J70)
- pneumonitis due to fumes and vapors (J68.0)
- usual interstitial pneumonia (J84.178)

Diagnosis Index entries containing back-references to J85.1:

Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) L02.91
ICD-10-CM Diagnosis Code L02.91
Cutaneous abscess, unspecified
- lung (miliary) (putrid) J85.2
  ICD-10-CM Diagnosis Code J85.2
  Abscess of lung without pneumonia
  2016 2017 2018 2019 2020 2021 Billable/Specific Code
  Applicable To
  Abscess of lung NOS
  - with pneumonia J85.1
Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) J18.9
ICD-10-CM Diagnosis Code J18.9
Pneumonia, unspecified organism
- with
  - lung abscess J85.1

ICD-10-CM Codes Adjacent To J85.1

J84.83 Surfactant mutations of the lung

J84.84 Other interstitial lung diseases of childhood

J84.841 Neuroendocrine cell hyperplasia of infancy

J84.842 Pulmonary interstitial glycogenosis

J84.843 Alveolar capillary dysplasia with vein misalignment

J84.848 Other interstitial lung diseases of childhood

J84.89 Other specified interstitial pulmonary diseases

J84.9 Interstitial pulmonary disease, unspecified

J85 Abscess of lung and mediastinum

J85.0 Gangrene and necrosis of lung

J85.1 Abscess of lung with pneumonia

J85.2 Abscess of lung without pneumonia

J85.3 Abscess of mediastinum

J86 Pyothorax

J86.0 Pyothorax with fistula

J86.9 Pyothorax without fistula

J90 Pleural effusion, not elsewhere classified

J91 Pleural effusion in conditions classified elsewhere

J91.0 Malignant pleural effusion

J91.8 Pleural effusion in other conditions classified elsewhere

J92 Pleural plaque

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2021 ICD-10-CM Diagnosis Code J85.1

Abscess of lung with pneumonia

Diseases of the respiratory system

Abscess of lung and mediastinum

Influenza due to identified novel influenza A virus with pneumonia

Influenza due to other identified influenza virus with pneumonia

Influenza due to unidentified influenza virus with pneumonia

Viral pneumonia, not elsewhere classified

Pneumonia due to Streptococcus pneumoniae

Pneumonia due to Hemophilus influenzae

Bacterial pneumonia, not elsewhere classified

Pneumonia due to other infectious organisms, not elsewhere classified

Pneumonia, unspecified organism

Cutaneous abscess, unspecified

Abscess of lung without pneumonia

Pneumonia, unspecified organism