2027 ICD-10-CM Diagnosis Code J94Other pleural conditions

ICD-10-CM Codes›J00–J99›J90-J94›J94

ICD-10-CM J94
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

J94 is a non-billable ICD-10-CM category code for other pleural conditions, so it cannot be submitted on claims. Use a more specific code from this category instead, such as J94.0, J94.1, J94.2, and J94.8.

Code Identity

ICD-10-CM Code
J94
Billable Status
No — Non-Billable Category
Code Describes
Other pleural conditions
Short Description
Other pleural conditions
Same as the full description in the CMS dataset.
Chapter
J90-J94
Other diseases of the pleura

Code Classification

ChapterJ00–J99Diseases of the respiratory system
SectionJ90-J94Other diseases of the pleura
CategoryJ94Other pleural conditions
This CodeJ94Other pleural conditions

Specific Coding for Other pleural conditionsOverview

Non-specific codes like J94 require more characters. Use one of these billable codes instead:

  • Use J94.0 for Chylous effusion

  • Use J94.1 for Fibrothorax

  • Use J94.2 for Hemothorax

  • Use J94.8 for Other specified pleural conditions

  • Use J94.9 for Pleural condition, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to J94: its own notes plus those printed at Chapter 10. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • pleurisy NOS (R09.1)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1)
  • tuberculous pleural conditions (current disease) (A15.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • 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

Add a second code, after this one, to fully describe the condition.

From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • 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)

Notes

General instructions on how these codes are used.

From Chapter 10 (J00-J99) Diseases of the respiratory system applies to 366 codes
  • 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).

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About J94Overview

What is the ICD-10 code for other pleural conditions?

J94 is the ICD-10-CM category for other pleural conditions, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is J94 (Other pleural conditions) a billable code?

No. This is a category header that groups the codes for other pleural conditions, and headers cannot be submitted on claims. Claims for other pleural conditions need a more specific code from this category, such as J94.0, J94.1, and J94.2.

Can J94 be reported with R09.1?

Not as a rule. The Excludes1 note on J94 lists "pleurisy NOS (R09.1)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).