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J90 - Pleural effusion, not elsewhere classified

ICD-10-CM Chapter 10: Diseases of the respiratory system · J90-J94 Other diseases of the pleura (J90-J94) · Top-level category · FY2027

Applicable To

Inclusion terms listed under J90 in the ICD-10-CM tabular list.

  • Encysted pleurisy
  • Pleural effusion NOS
  • Pleurisy with effusion (exudative) (serous)

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom J90

Mutually exclusive: these conditions are never reported together with this code.

  • chylous (pleural) effusion (J94.0)
  • malignant pleural effusion (J91.0))
  • pleurisy NOS (R09.1)
  • tuberculous pleural effusion (A15.6)
Excludes 2 — Not Included HereFrom Chapter J00-J99

Not part of this code; report both codes when the patient has both conditions.

  • 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 CodeFrom Chapter J00-J99

Add a secondary code to identify the associated condition or cause when it is documented.

  • 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)
NotesFrom Chapter J00-J99

Instructional notes from the ICD-10-CM tabular list.

  • 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).

Inpatient DRG Payments

DRG 1868,187 discharges

Pleural Effusion With Mcc

Avg. Medicare Payment

$12,051

Total Payment$14,264
Patient Responsibility$2,213
Hospital Charge$71,573
DRG 1873,878 discharges

Pleural Effusion With Cc

Avg. Medicare Payment

$7,754

Total Payment$9,777
Patient Responsibility$2,023
Hospital Charge$49,296

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with J90.