Is J86 a billable ICD-10-CM code?

No. J86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does J86 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).

What cannot be coded together with J86?

J86 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J86

J86 — Pyothorax

Non-billable headerICD-10-CM

J86 is a non-billable header ICD-10-CM code for pyothorax. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

abscess of lung (J85.-)
pyothorax due to tuberculosis (A15.6)

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 J86

These codes carry an Excludes1 note pointing at J86. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J86 alone.

J93Pneumothorax and air leak

Risk adjustment

J86 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 J86

2 child codes. Green means billable.

Questions about J86

Is J86 a billable ICD-10-CM code?: No. J86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J86 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).
What cannot be coded together with J86?: J86 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.