Complete ICD-10-CM coding and documentation guide for icd-10 coding for empyema includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Empyema
Use ICD-10 code J86.0 for pyothorax with fistula, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Bacterial and viral infectious agents
Use when the causative organism is identified.
The ICD-10 code for empyema without fistula is J86.9, while empyema with fistula is coded as J86.0.
Code the underlying pneumonia first (e.g., J18.9) followed by the empyema code (J86.9).