2019/2020

  1. ICD-10-CM Codes
    2. ›
  2. R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    3. ›
  3. R00-R09 Symptoms and signs involving the circulatory and respiratory systems
    4. ›
  4. R09- Other symptoms and signs involving the circulatory and respiratory system
    5. ›

2020 ICD-10-CM Diagnosis Code R09.1

Pleurisy

    2016 2017 2018 2019 2020 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 2020 edition of ICD-10-CM R09.1 became effective on October 1, 2019.
  • 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

      2016 2017 2018 2019 2020 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)
    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
    2020 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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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 v37.0):
  • 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
  • 2020 (effective 10/1/2019): 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

      2016 2017 2018 2019 2020 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)
    ICD-10-CM Diagnosis Code J94

    Other pleural conditions

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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.

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