ICD-10-CM Code R09.1

Pleurisy

Version 2021 Billable Code No Valid Principal Dx

Valid for Submission

R09.1 is a billable code used to specify a medical diagnosis of pleurisy. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code R09.1 might also be used to specify conditions or terms like acute dry pleurisy, asbestos pleurisy, bacterial pleurisy, basal pleurisy, chronic dry pleurisy, diaphragmatic pleurisy, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R09.1
Short Description:Pleurisy
Long Description:Pleurisy

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 R09.1:

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.
  • pleurisy with effusion J90

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 R09.1 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:

  • Acute dry pleurisy
  • Asbestos pleurisy
  • Bacterial pleurisy
  • Basal pleurisy
  • Chronic dry pleurisy
  • Diaphragmatic pleurisy
  • Drug-induced pleurisy
  • Dry pleurisy
  • Fibrinous pleurisy
  • Infective pleurisy
  • Interlobar pleurisy
  • Obliterative pleuritis
  • Pleurisy
  • Pleurisy without effusion or active tuberculosis
  • Sterile pleurisy
  • Viral pleurisy

Clinical Information

  • PLEURISY-. inflammation of pleura the lining of the lung. when parietal pleura is involved there is pleuritic chest pain.
  • TUBERCULOSIS PLEURAL-. tuberculosis of the serous membrane lining the thoracic cavity and surrounding the lungs.

Diagnostic Related Groups

The ICD-10 code R09.1 is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.

  • 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

  • 511.0 - Pleurisy w/o effus or TB (Approximate Flag)

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
      • Oth symptoms and signs involving the circ and resp sys (R09)

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
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

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

  • Chest tube insertion (Medical Encyclopedia)
  • Collapsed lung (pneumothorax) (Medical Encyclopedia)
  • Empyema (Medical Encyclopedia)
  • Hemothorax (Medical Encyclopedia)
  • Lung surgery (Medical Encyclopedia)
  • Metastatic pleural tumor (Medical Encyclopedia)
  • Pleural effusion (Medical Encyclopedia)
  • Pleurisy (Medical Encyclopedia)

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