2027 ICD-10-CM Diagnosis Code J94.8Other specified pleural conditions
ICD-10-CM Codes›J00–J99›J90-J94›J94
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
J94.8 is a billable ICD-10-CM diagnosis code for other specified pleural conditions. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 186 through 188, 791, 793. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 1 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pleurisy, pleural effusion and pulmonary collapse.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abnormal pericardiopleural communication
- Adhesion of pleura
- Calcification of pleura
- Chylothorax
- Congenital chylothorax
- Fibrosis of pleura
- Hydropneumothorax
- Hydrothorax
- Hydrothorax as complication of peritoneal dialysis
- Intralipid pseudochylous effusion
- Leakage of peritoneal dialysate into pleural cavity
- Mass of pleura
- Mesothelial hyperplasia of the pleura
- Peritoneal dialysis leakage
- Pleural fibrosis with calcification
- Pleural scarring
- Pneumochylothorax
- Pseudochylothorax
- Tension hydrothorax
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to J94.8: its own notes plus those printed at J94 and Chapter 10. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Hydropneumothorax
- Hydrothorax
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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.
- 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)
Notes
General instructions on how these codes are used.
- 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.
Referenced in Other NotesGuidance
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
pleura J94.8
postinfectional J94.8
Disease, diseased See Also: Syndrome;
chest J94.8
pleural cavity J94.8
Hydropneumothorax J94.8
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Hydropneumothorax
a collection of fluid and gas within the pleural cavity. (dorland, 27th ed)Hydrothorax
a collection of watery fluid in the pleural cavity. (dorland, 27th ed)
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.
Convert J94.8 to ICD-9-CMHistory
Code HistoryHistory
Questions About J94.8Overview
What is the ICD-10 code for other specified pleural conditions?
The ICD-10-CM code for other specified pleural conditions is J94.8 (sometimes written as J948). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is J94.8 (Other pleural conditions) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified pleural conditions on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does J94.8 group to?
When other specified pleural conditions is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 186, 187, 188, with relative weights from 0.6651 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.
Is J94.8 a CC or MCC?
CMS lists J94.8 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 1 closely related codes in its exclusion list.
Can J94.8 be reported with R09.1?
Not as a rule. The Excludes1 note at J94, which applies to J94.8, 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).
