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J93.12

Billable

Secondary 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 spontaneously (without trauma) as a complication of an underlying lung disease such as COPD, cystic fibrosis, or emphysema. Air leaks into the space between the lung and chest wall, causing the lung to partially or completely collapse.

Coding Tips

  • Always code the underlying lung disease first (such as COPD or emphysema), then assign J93.12 as a secondary diagnosis to show it resulted from that condition
  • Verify documentation specifies 'secondary' (due to underlying disease) rather than 'primary' (spontaneous without known lung disease), as these are coded differently

Code First

  • underlying condition, such as:
  • catamenial pneumothorax due to endometriosis (N80.B-)
  • cystic fibrosis (E84.-)
  • eosinophilic pneumonia (J82.81-J82.82)
  • lymphangioleiomyomatosis (J84.81)
  • malignant neoplasm of bronchus and lung (C34.-)
  • Marfan syndrome (Q87.4-)
  • pneumonia due to Pneumocystis carinii (B59)
  • secondary malignant neoplasm of lung (C78.0-)
  • spontaneous rupture of the esophagus (K22.3)

Code Hierarchy

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