2023 ICD-10-CM Diagnosis Code J91.8

Pleural effusion in other conditions classified elsewhere

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
  • J91.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM J91.8 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of J91.8 - other international versions of ICD-10 J91.8 may differ.
ICD-10-CM Coding Rules
  • J91.8 describes the manifestation of an underlying disease, not the disease itself.
Code First
Code 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.
  • underlying disease, such as:
  • filariasis (
    ICD-10-CM Diagnosis Code B74.0

    Filariasis due to Wuchereria bancrofti

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Bancroftian elephantiasis
    • Bancroftian filariasis
    B74.0-
    ICD-10-CM Diagnosis Code B74.9

    Filariasis, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    B74.9
    )
  • influenza (
    ICD-10-CM Diagnosis Code J09.X2

    Influenza due to identified novel influenza A virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to identified novel influenza A virus NOS
    • Influenza due to identified novel influenza A virus with laryngitis
    • Influenza due to identified novel influenza A virus with pharyngitis
    • Influenza due to identified novel influenza A virus with upper respiratory symptoms
    Use Additional
    • code, if applicable, for associated:
    • pleural effusion (J91.8)
    • sinusitis (J01.-)
    J09.X2
    ,
    ICD-10-CM Diagnosis Code J10.1

    Influenza due to other identified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to other identified influenza virus NOS
    • Influenza due to other identified influenza virus with laryngitis
    • Influenza due to other identified influenza virus with pharyngitis
    • Influenza due to other identified influenza virus with upper respiratory symptoms
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J10.1
    ,
    ICD-10-CM Diagnosis Code J11.1

    Influenza due to unidentified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza NOS
    • Influenzal laryngitis NOS
    • Influenzal pharyngitis NOS
    • Influenza with upper respiratory symptoms NOS
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J11.1
    )
The following code(s) above J91.8 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 J91.8:
  • J00-J99
    2023 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
  • J91
    ICD-10-CM Diagnosis Code J91

    Pleural effusion in conditions classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • pleural effusion in heart failure (I50.-)
    • pleural effusion in systemic lupus erythematosus (M32.13)
    Pleural effusion in conditions classified elsewhere
Approximate Synonyms
  • Secondary pleural effusion
ICD-10-CM J91.8 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 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 J91.8 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
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to J91.8:
  • Use Additional: J09.X2
    , J10.1
    , J11.1
    ICD-10-CM Diagnosis Code J09.X2

    Influenza due to identified novel influenza A virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to identified novel influenza A virus NOS
    • Influenza due to identified novel influenza A virus with laryngitis
    • Influenza due to identified novel influenza A virus with pharyngitis
    • Influenza due to identified novel influenza A virus with upper respiratory symptoms
    Use Additional
    • code, if applicable, for associated:
    • pleural effusion (J91.8)
    • sinusitis (J01.-)
    ICD-10-CM Diagnosis Code J10.1

    Influenza due to other identified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to other identified influenza virus NOS
    • Influenza due to other identified influenza virus with laryngitis
    • Influenza due to other identified influenza virus with pharyngitis
    • Influenza due to other identified influenza virus with upper respiratory symptoms
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    ICD-10-CM Diagnosis Code J11.1

    Influenza due to unidentified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza NOS
    • Influenzal laryngitis NOS
    • Influenzal pharyngitis NOS
    • Influenza with upper respiratory symptoms NOS
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)

Diagnosis Index entries containing back-references to J91.8:
  • Effusion
    • pleura, pleurisy, pleuritic, pleuropericardial J90
      ICD-10-CM Diagnosis Code J90

      Pleural effusion, not elsewhere classified

        2016 2017 2018 2019 2020 2021 2022 2023 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)
      • in conditions classified elsewhere J91.8

ICD-10-CM Codes Adjacent To J91.8
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
J93.12 Secondary spontaneous pneumothorax
J93.8 Other pneumothorax and air leak
J93.81 Chronic pneumothorax

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