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R09.1

Billable

Pleurisy

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

What This Code Means

Inflammation of the membrane lining the lungs and chest cavity, typically causing chest pain that worsens with breathing.

Coding Tips

  • •Determine if pleurisy is viral, bacterial, or associated with another condition like pneumonia
  • •Code any associated pleural effusion separately if documented

Excludes 1 — Do NOT code together

  • pleurisy with effusion (J90)

Code Hierarchy

└R09Other symptoms and signs involving the circulatory and respiratory system└R09.1Pleurisy
└R09.1Pleurisy

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