J94.8

J94.8: Other specified pleural conditions

Billable / specific codeICD-10-CM

J94.8 is a billable, specific ICD-10-CM code for other specified pleural conditions. It is valid for submission on a claim.

Check J94.8 with the rest of the claim: free scrubber

Inclusion terms

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

Hydropneumothorax
Hydrothorax

Excludes1 inherited from the categories above J94.8

A category’s note binds every code beneath it.

Written on J94: Other pleural conditions

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

Other codes that can never be billed with J94.8

Their own Excludes1 notes name this code, so the conflict is not listed above.

R60Edema, not elsewhere classified

Risk adjustment

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

Medicare coverage

J94.8 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A57205Billing and Coding: Oximetry Services

Alphabetic index entries that lead here

Hydropneumothorax
Hydrothorax(double) (pleura)
Adhesions, adhesive›pleura, pleuritic
Adhesions, adhesive›pleuropericardial
Calcification›pleura
Congestion, congestive›pleural
Cyst›pleura
Fluid›chest
Fluid›pleural cavity
Calcification›pleura›postinfectional
Disease, diseased›pleura›specified NEC
Water›on›chest

Code history

Unchanged in every release from FY2024 to FY2027.