2020 ICD-10-CM Diagnosis Code J90

Pleural effusion, not elsewhere classified

    2016 2017 2018 2019 2020 Billable/Specific Code
  • J90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM J90 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J90 - other international versions of ICD-10 J90 may differ.
Applicable To
  • Encysted pleurisy
  • Pleural effusion NOS
  • Pleurisy with effusion (exudative) (serous)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J90. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • chylous (pleural) effusion (
    ICD-10-CM Diagnosis Code J94.0

    Chylous effusion

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Chyliform effusion
    J94.0
    )
  • malignant pleural effusion (
    ICD-10-CM Diagnosis Code J91.0

    Malignant pleural effusion

      2016 2017 2018 2019 2020 Billable/Specific Code Manifestation Code
    Code First
    • underlying neoplasm
    J91.0
    ))
  • pleurisy NOS (
    ICD-10-CM Diagnosis Code R09.1

    Pleurisy

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • pleurisy with effusion (J90)
    R09.1
    )
  • tuberculous pleural effusion (
    ICD-10-CM Diagnosis Code A15.6

    Tuberculous pleurisy

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Tuberculosis of pleura Tuberculous empyema
    Type 1 Excludes
    • primary respiratory tuberculosis (A15.7)
    A15.6
    )
The following code(s) above J90 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 J90:
  • J00-J99
    2020 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
Approximate Synonyms
  • Bacterial pleurisy with effusion
  • Bilateral pleural effusion
  • Exudative pleural effusion
  • Loculated pleural effusion
  • Pleural effusion
  • Pleural effusion (fluid around lung)
  • Pleural effusion bacterial, nontuberculosis
  • Pleural effusion due to bacterial infection
  • Pneumococcal pleurisy with effusion
  • Strep pleurisy with effusion
  • Streptococcal pleurisy with effusion
Clinical Information
  • A disorder characterized by an increase in amounts of fluid within the pleural cavity. Symptoms include shortness of breath, cough and marked chest discomfort.
  • An abnormal collection of fluid between the thin layers of tissue (pleura) lining the lung and the wall of the chest cavity.
  • Increased amounts of fluid within the pleural cavity. Symptoms include shortness of breath, cough, and chest pain. It is usually caused by lung infections, congestive heart failure, pleural and lung tumors, connective tissue disorders, and trauma.
  • Presence of fluid in the pleural cavity resulting from excessive transudation or exudation from the pleural surfaces. It is a sign of disease and not a diagnosis in itself.
  • Presence of fluid in the pleural cavity resulting from excessive transudation or exudation from the pleural surfaces; it is a sign of disease and not a diagnosis in itself.
ICD-10-CM J90 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 186 Pleural effusion with mcc
  • 187 Pleural effusion with cc
  • 188 Pleural effusion without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert J90 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
Code annotations containing back-references to J90:
  • Code Also: I27.23
    ICD-10-CM Diagnosis Code I27.23

    Pulmonary hypertension due to lung diseases and hypoxia

      2018 - New Code 2019 2020 Billable/Specific Code
    Applicable To
    • Group 3 pulmonary hypertension
    Code Also
    • associated lung disease, if known, such as:
    • bronchiectasis (J47.-)
    • cystic fibrosis with pulmonary manifestations (E84.0)
    • interstitial lung disease (J84.-)
    • pleural effusion (J90)
    • sleep apnea (G47.3-)
  • Type 1 Excludes: R09.1
    ICD-10-CM Diagnosis Code R09.1

    Pleurisy

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • pleurisy with effusion (J90)

Diagnosis Index entries containing back-references to J90:
  • Effusion
  • Pleurisy (acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) R09.1
    ICD-10-CM Diagnosis Code R09.1

    Pleurisy

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • pleurisy with effusion (J90)

ICD-10-CM Codes Adjacent To J90
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
J92.0 Pleural plaque with presence of asbestos
J92.9 Pleural plaque without asbestos
J93 Pneumothorax and air leak
J93.0 Spontaneous tension pneumothorax
J93.1 Other spontaneous pneumothorax
J93.11 Primary spontaneous pneumothorax

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