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

ICD-10 Coding for Malignant Pleural Effusion

J91.0
C34.90

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

Also Known as:
Cancerous Pleural Effusion
Neoplastic Pleural Effusion
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Key Information: ICD-10 Coding for Malignant Pleural Effusion

Essential facts and insights about ICD-10 Coding for Malignant 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

clinical:
  • • Presence of malignant cells in pleural fluid
coding:
  • • Underlying malignancy must be coded first
documentation:
  • • Linkage between effusion and malignancy must be documented

Applicable To

  • • Pleural effusion due to malignancy

Important Notes

  • • Always sequence the underlying cancer code before J91.0.

Malignant neoplasm of unspecified part of unspecified bronchus or lung

Billable Code
C34.90
Billable

Diagnostic Criteria

clinical:
  • • Pathology report confirming lung cancer
  • • Imaging showing lung mass

Applicable To

  • • Lung cancer

Important Notes

  • • Ensure documentation specifies lung cancer as the primary site.
Ancillary Codes

Additional codes that may be used with this diagnosis

R06.02

Shortness of breath

Use to document symptoms associated with pleural effusion.

Frequently Asked Questions

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

The ICD-10 code for malignant pleural effusion is J91.0, which should be used in conjunction with the code for the underlying malignancy.

How do you code malignant pleural effusion?

Code J91.0 for malignant pleural effusion, ensuring the underlying cancer is coded first. Confirm malignancy with cytology.

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