J91.8

J91.8: Pleural effusion in other conditions classified elsewhere

Billable / specific codeICD-10-CM

J91.8 is a billable, specific ICD-10-CM code for pleural effusion in other conditions classified elsewhere. It is valid for submission on a claim.

Check J91.8 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
filariasis (B74.0-B74.9)
influenza (J09.X2, J10.1, J11.1)

Excludes2 inherited from the categories above J91.8

Not part of this code, but both may be coded when both are present.

Written on J91: Pleural effusion in conditions classified elsewhere

pleural effusion in heart failure (I50.-)
pleural effusion in systemic lupus erythematosus (M32.13)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J91.8 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56464Billing and Coding: Flow Cytometry
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

Effusion›pleura, pleurisy, pleuritic, pleuropericardial›in conditions classified elsewhere

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under J91

J91.0Malignant pleural effusion