2022 ICD-10-CM Code R09.1
Pleurisy
Valid for Submission
| ICD-10: | R09.1 |
| Short Description: | Pleurisy |
| Long Description: | Pleurisy |
Code Classification
R09.1 is a billable diagnosis code used to specify a medical diagnosis of pleurisy. The code R09.1 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 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.
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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R09.1:
Type 1 Excludes
Type 1 ExcludesA 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:
Approximate 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
- Serositis
- Serositis
- 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 - MS-DRG Mapping
The ICD-10 code R09.1 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 04 | 1.3107 |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | 04 | 0.863 |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 04 | 0.665 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert R09.1 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code R09.1 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 511.0 - Pleurisy w/o effus or TB (Approximate Flag)
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
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)