Is J94.2 a billable ICD-10-CM code?

Yes. J94.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J94.2 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Other diseases of the pleura (J90-J94).

What cannot be coded together with J94.2?

J94.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above J94.2 (J94) and apply to it just the same.

J94.2

J94.2 — Hemothorax

Billable / specific codeICD-10-CM

J94.2 is a billable, specific ICD-10-CM code for hemothorax. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Hemopneumothorax

Excludes1 inherited from the categories above J94.2

These are not written on J94.2, but they bind it: a note on a category applies to every code beneath it. Billing J94.2 with anything listed here is a denial.

Written on J94 — Other pleural conditions

pleurisy NOS (R09.1)
traumatic hemopneumothorax (S27.2)
traumatic hemothorax (S27.1)
tuberculous pleural conditions (current disease) (A15.-)

Risk adjustment

J94.2 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.

Medicare coverage

J94.2 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56464Billing and Coding: Flow Cytometry
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A56730Billing and Coding: Respiratory Therapy and Oximetry Services

How J94.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J94.2.

Hemothorax(bacterial) (nontuberculous)
Pneumohemothorax

Code history

J94.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share J94. If J94.2 is not quite right, the correct code is usually one of these.

Questions about J94.2

Is J94.2 a billable ICD-10-CM code?: Yes. J94.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J94.2 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Other diseases of the pleura (J90-J94).
What cannot be coded together with J94.2?: J94.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above J94.2 (J94) and apply to it just the same.