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

ICD-10 Coding for Right Pleural Effusion

J90
J91.0

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

Also Known as:
Right-sided Pleural Effusion
Right Pleural Fluid Accumulation
pleural fluid accumulation on right
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Key Information: ICD-10 Coding for Right Pleural Effusion

Essential facts and insights about ICD-10 Coding for Right 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

  • • Presence of pleural fluid on imaging without specific etiology

Applicable To

  • • Unspecified pleural effusion

Important Notes

  • • Ensure laterality is documented as right-sided.

Malignant pleural effusion

Billable Code
J91.0
Billable

Diagnostic Criteria

  • • Cytology or biopsy confirming malignant cells
  • • Imaging showing pleural fluid

Applicable To

  • • Effusion due to malignancy

Important Notes

  • • Ensure malignancy is documented and coded first.
Ancillary Codes

Additional codes that may be used with this diagnosis

J91.8

Pleural effusion in conditions classified elsewhere

Use when effusion is due to another condition like CHF.

Frequently Asked Questions

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

The ICD-10 code for right pleural effusion is J90, used when the effusion is not specified as malignant or due to another condition.

How do you code malignant right pleural effusion?

For malignant right pleural effusion, use J91.0, ensuring the underlying malignancy is coded first.

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