Is J85 a billable ICD-10-CM code?

No. J85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does J85 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Suppurative and necrotic conditions of the lower respiratory tract (J85-J86).

J85

J85 — Abscess of lung and mediastinum

Non-billable headerICD-10-CM

J85 is a non-billable header ICD-10-CM code for abscess of lung and mediastinum. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B97) to identify infectious agent.

Other codes that can never be billed with J85

These codes carry an Excludes1 note pointing at J85. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J85 alone.

J86Pyothorax

Risk adjustment

J85 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead J85

4 child codes. Green means billable.

Questions about J85

Is J85 a billable ICD-10-CM code?: No. J85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J85 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Suppurative and necrotic conditions of the lower respiratory tract (J85-J86).