Complete ICD-10-CM coding and documentation guide for icd-10 coding for pleural effusion includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Pleural Effusion
Use ICD-10 code J91.8 for pleural effusion in conditions classified elsewhere, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Heart failure, unspecified
Use alongside J91.8 when pleural effusion is due to CHF.
Malignant neoplasm of unspecified part of bronchus or lung
Use alongside J91.0 when the primary site is lung.
Pleural effusion is coded with CHF when there is documented intervention such as thoracentesis or specific imaging ordered to assess the effusion.
Document malignant pleural effusions by confirming malignant cells in pleural fluid and linking cytology reports to the encounter.