ICD-10-CM Code J90

Pleural effusion, not elsewhere classified

Version 2020 Billable Code

Valid for Submission

J90 is a billable code used to specify a medical diagnosis of pleural effusion, not elsewhere classified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code J90 might also be used to specify conditions or terms like adhesion of pleura, bilateral pleural effusion, encysted pleurisy, exudative pleural effusion, exudative pleurisy, fibrinous pleurisy, etc

ICD-10:J90
Short Description:Pleural effusion, not elsewhere classified
Long Description:Pleural effusion, not elsewhere classified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code J90:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Encysted pleurisy
  • Pleural effusion NOS
  • Pleurisy with effusion (exudative) (serous)

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • chylous pleural effusion J94.0
  • malignant pleural effusion J91.0
  • pleurisy NOS R09.1
  • tuberculous pleural effusion A15.6

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code J90 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Adhesion of pleura
  • Bilateral pleural effusion
  • Encysted pleurisy
  • Exudative pleural effusion
  • Exudative pleurisy
  • Fibrinous pleurisy
  • Hemorrhagic pleural effusion
  • Hydrothorax
  • Loculated pleural effusion
  • Pleural effusion
  • Pleural fluid = exudate
  • Pleural fluid type determination
  • Pleurisy with effusion
  • Pneumococcal pleurisy
  • Serofibrinous pleurisy
  • Serous pleurisy
  • Streptococcal pleurisy

Diagnostic Related Groups

The ICD-10 code J90 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 186 - PLEURAL EFFUSION WITH MCC
  • 187 - PLEURAL EFFUSION WITH CC
  • 188 - PLEURAL EFFUSION WITHOUT CC/MCC

Convert J90 to ICD-9

  • 511.1 - Bact pleur/effus not TB (Approximate Flag)
  • 511.89 - Effusion NEC exc tb (Approximate Flag)

Code Classification

  • Diseases of the respiratory system (J00–J99)
    • Other diseases of the pleura (J90-J94)
      • Pleural effusion, not elsewhere classified (J90)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Pleural Disorders

Your pleura is a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. Between the layers of the pleura is a very thin space. Normally it's filled with a small amount of fluid. The fluid helps the two layers of the pleura glide smoothly past each other as your lungs breathe air in and out.

Disorders of the pleura include

  • Pleurisy - inflammation of the pleura that causes sharp pain with breathing
  • Pleural effusion - excess fluid in the pleural space
  • Pneumothorax - buildup of air or gas in the pleural space
  • Hemothorax - buildup of blood in the pleural space

Many different conditions can cause pleural problems. Viral infection is the most common cause of pleurisy. The most common cause of pleural effusion is congestive heart failure. Lung diseases, like COPD, tuberculosis, and acute lung injury, cause pneumothorax. Injury to the chest is the most common cause of hemothorax. Treatment focuses on removing fluid, air, or blood from the pleural space, relieving symptoms, and treating the underlying condition.

NIH: National Heart, Lung, and Blood Institute


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