ICD-10-CM Codes
R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R00-R09 Symptoms and signs involving the circulatory and respiratory systems
R09- Other symptoms and signs involving the circulatory and respiratory system

2018/2019 ICD-10-CM Diagnosis Code R09.1

Pleurisy

2016

2017

2018

2019

Billable/Specific Code

R09.1 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 R09.1 became effective on October 1, 2018.
This is the American ICD-10-CM version of R09.1 - other international versions of ICD-10 R09.1 may differ.

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 R09.1. 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.

pleurisy with effusion (
ICD-10-CM Diagnosis Code J90
Pleural effusion, not elsewhere classified
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)
J90
)

The following code(s) above R09.1 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 R09.1:

R00-R99
2019 ICD-10-CM Range R00-R99
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Note
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Type 2 Excludes
- abnormal findings on antenatal screening of mother (O28.-)
- certain conditions originating in the perinatal period (P04-P96)
- signs and symptoms classified in the body system chapters
- signs and symptoms of breast (N63, N64.5)
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R09
ICD-10-CM Diagnosis Code R09
Other symptoms and signs involving the circulatory and respiratory system
Type 1 Excludes
- acute respiratory distress syndrome (J80)
- respiratory arrest of newborn (P28.81)
- respiratory distress syndrome of newborn (P22.0)
- respiratory failure (J96.-)
- respiratory failure of newborn (P28.5)
Other symptoms and signs involving the circulatory and respiratory system

Clinical Information

Inflammation of pleura, the lining of the lung. When parietal pleura is involved, there is pleuritic chest pain.
Inflammation of the lining of the lung (pleura)
Inflammation of the pleura, with exudation into its cavity and upon its surface; may occur as either an acute or a chronic process.
Inflammation of the pleura. It is usually caused by infections. Chest pain while breathing or coughing is the presenting symptom.

ICD-10-CM R09.1 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

193 Simple pneumonia and pleurisy with mcc
194 Simple pneumonia and pleurisy with cc
195 Simple pneumonia and pleurisy without cc/mcc

Convert R09.1 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

Code annotations containing back-references to R09.1:

Type 1 Excludes: J90
, J94

ICD-10-CM Diagnosis Code J90
Pleural effusion, not elsewhere classified
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)
ICD-10-CM Diagnosis Code J94
Other pleural conditions
Type 1 Excludes
- pleurisy NOS (R09.1)
- traumatic hemopneumothorax (S27.2)
- traumatic hemothorax (S27.1)
- tuberculous pleural conditions (current disease) (A15.-)

Diagnosis Index entries containing back-references to R09.1:

Pleurisy (acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) R09.1

ICD-10-CM Codes Adjacent To R09.1

R07.2 Precordial pain

R07.8 Other chest pain

R07.81 Pleurodynia

R07.82 Intercostal pain

R07.89 Other chest pain

R07.9 Chest pain, unspecified

R09 Other symptoms and signs involving the circulatory and respiratory system

R09.0 Asphyxia and hypoxemia

R09.01 Asphyxia

R09.02 Hypoxemia

R09.1 Pleurisy

R09.2 Respiratory arrest

R09.3 Abnormal sputum

R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems

R09.81 Nasal congestion

R09.82 Postnasal drip

R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems

R10 Abdominal and pelvic pain

R10.0 Acute abdomen

R10.1 Pain localized to upper abdomen

R10.10 Upper abdominal pain, unspecified

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

2018/2019 ICD-10-CM Diagnosis Code R09.1

Pleurisy

Pleural effusion, not elsewhere classified

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Other symptoms and signs involving the circulatory and respiratory system

Pleural effusion, not elsewhere classified

Other pleural conditions