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ICD-10-CM Codes
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J00-J99
Diseases of the respiratory system
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J90-J94
Other diseases of the pleura
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J91-
Pleural effusion in conditions classified elsewhere
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2018/2019 ICD-10-CM Diagnosis Code J91.0
Malignant pleural effusion
2016 2017 2018 2019 Billable/Specific Code Manifestation Code
- J91.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2018/2019 edition of ICD-10-CM J91.0 became effective on October 1, 2018.
- This is the American ICD-10-CM version of J91.0 - other international versions of ICD-10 J91.0 may differ.
ICD-10-CM Coding Rules
- J91.0 describes the manifestation of an underlying disease, not the disease itself.
Code FirstCode First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
The following code(s) above
J91.0 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
J91.0:
- Neoplastic pleural effusion
- Pleural effusion due to malignancy
Clinical Information
- A collection of fluid in the pleural cavity as a result of malignant disease. Malignant pleural effusion fluid often contains free-floating malignant cells.
- A condition in which cancer causes an abnormal amount of fluid to collect between the thin layers of tissue (pleura) lining the outside of the lung and the wall of the chest cavity. Lung cancer, breast cancer, lymphoma, and leukemia cause most malignant pleural effusions.
- Presence of fluid in the pleural cavity as a complication of malignant disease. Malignant pleural effusions often contain actual malignant cells.
ICD-10-CM J91.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
- 180 Respiratory neoplasms with mcc
- 181 Respiratory neoplasms with cc
- 182 Respiratory neoplasms without cc/mcc
Convert J91.0 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
Code annotations containing back-references to J91.0:
- Effusion
- pleura, pleurisy, pleuritic, pleuropericardial J90
ICD-10-CM Diagnosis Code J90
Pleural effusion, not elsewhere classified
2016 2017 2018 2019 Billable/Specific Code
Applicable To- Encysted pleurisy
- Pleural effusion NOS
- Pleurisy with effusion (exudative) (serous)
Type 1 Excludes- chylous (pleural) effusion (J94.0)
- malignant pleural effusion (J91.0))
- pleurisy NOS (R09.1)
- tuberculous pleural effusion (A15.6)
- malignant pleural J91.0
ICD-10-CM Codes Adjacent To J91.0
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
J86.0 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
J92.0 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
J93.12 Secondary spontaneous pneumothorax
J93.8 Other pneumothorax and air leak
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
