J93.11
BillablePrimary spontaneous pneumothorax
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A collapsed lung that occurs suddenly without any underlying lung disease or external injury, typically caused by a small air pocket rupturing in the lung tissue. This is a relatively common condition that can happen spontaneously, especially in tall, thin young adults.
Coding Tips
- •Verify whether the pneumothorax is primary (no underlying lung disease) or secondary (associated with COPD, cystic fibrosis, or other lung conditions) as this affects code selection
- •Document laterality (right vs. left lung) and whether it is the initial episode or a recurrent occurrence, as these details may be required for complete coding
Code Hierarchy
└J93Pneumothorax and air leak└J93.1Other spontaneous pneumothorax└J93.11Primary spontaneous pneumothorax
└J93.11Primary spontaneous pneumothorax