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J90

Billable

Pleural effusion, not elsewhere classified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Abnormal fluid accumulation around the lungs that is not caused by a specific documented condition.

Coding Tips

  • •Use this code only when the underlying cause is not specified or classified elsewhere
  • •If a cause is documented (heart failure, malignancy, infection), use the more specific code for that condition

Excludes 1 — Do NOT code together

  • chylous (pleural) effusion (J94.0)
  • malignant pleural effusion (J91.0))
  • pleurisy NOS (R09.1)
  • tuberculous pleural effusion (A15.6)

Code Hierarchy

└J90Pleural effusion, not elsewhere classified
└J90Pleural effusion, not elsewhere classified

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