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

ICD-10 Coding for Loculated Pleural Effusion

J90
J91.0
J91.8

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

Also Known as:
Encysted Pleural Effusion
Septated Pleural Effusion
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Key Information: ICD-10 Coding for Loculated Pleural Effusion

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

Use ICD-10 code J90 for pleural effusion, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pleural effusion, not elsewhere classified

Billable Code
J90
Billable

Diagnostic Criteria

clinical:
  • • No identifiable cause after thorough investigation
documentation:
  • • Lack of documentation linking effusion to another condition

Applicable To

  • • Pleural effusion without specified cause

Important Notes

  • • Ensure thorough investigation and documentation to rule out specific causes before using J90.

Malignant pleural effusion

Billable Code
J91.0
Billable

Applicable To

  • • Pleural effusion due to malignancy

Important Notes

  • • Always confirm malignancy through cytology or imaging.

Pleural effusion in conditions classified elsewhere

Billable Code
J91.8
Billable

Applicable To

  • • Pleural effusion due to conditions like CHF, infection

Important Notes

  • • Ensure proper sequencing with the underlying condition.
Frequently Asked Questions

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

The ICD-10 code for loculated pleural effusion is J90 when no specific cause is identified. If the effusion is due to malignancy or another condition, use J91.0 or J91.8 respectively.

How do you code a pleural effusion with an unknown cause?

Use ICD-10 code J90 for pleural effusion when the cause is unknown after thorough investigation and no linkage to another condition is documented.

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