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Home/Diagnosis/ICD-10 Coding for Left Pleural Effusion

ICD-10 Coding for Left Pleural Effusion

J91.0
J91.8
J90

Complete ICD-10-CM coding and documentation guide for icd-10 coding for left pleural effusion includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Left-sided Pleural Effusion
Left Pleural Fluid Accumulation
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Key Information: ICD-10 Coding for Left Pleural Effusion

Essential facts and insights about ICD-10 Coding for Left Pleural Effusion

Use ICD-10 code J91.0 for malignant pleural effusion, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant pleural effusion

Billable Code
J91.0
Billable

Diagnostic Criteria

  • • Cytology and imaging confirm malignancy.

Applicable To

  • • Pleural effusion due to malignancy

Important Notes

  • • Ensure primary malignancy is coded first.

Pleural effusion in other conditions classified elsewhere

Billable Code
J91.8
Billable

Diagnostic Criteria

  • • Use when pleural effusion is linked to CHF and requires specific intervention.

Applicable To

  • • Pleural effusion due to CHF

Important Notes

  • • Document specific interventions like thoracentesis.

Pleural effusion, not elsewhere classified

Billable Code
J90
Billable

Diagnostic Criteria

  • • Use when the effusion's cause cannot be determined after thorough evaluation.

Applicable To

  • • Idiopathic pleural effusion

Important Notes

  • • Use only when no other cause is identified.

Other specified pleural conditions

Billable Code
J94.8
Billable

Diagnostic Criteria

  • • Use for chronic, loculated effusions with documented imaging findings.

Applicable To

  • • Chronic loculated pleural effusion

Important Notes

  • • Document imaging findings clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

C78.2

Secondary malignant neoplasm of pleura

Use with J91.0 to indicate secondary pleural involvement.

Frequently Asked Questions

What is the ICD-10 code for left pleural effusion?

The ICD-10 code for left pleural effusion depends on the underlying cause. Use J91.0 for malignant effusions and J91.8 for those related to conditions like CHF.

How do you document left pleural effusion?

Document the laterality, underlying cause, and any interventions performed, such as thoracentesis, to support coding and treatment decisions.

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