ICDcodes.org
FY2027

J91Pleural effusion in conditions classified elsewhere

Not billable

Is J91 billable?

No — J91 is a non-billable header code. J91 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 2 billable codes beneath J91.

J91 at a glance

CodeJ91
DescriptionPleural effusion in conditions classified elsewhere
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes2 — not included here

The conditions below are not part of J91, but a patient may have both at the same time. When documentation supports it, J91 and the excluded code may both be reported.

  • pleural effusion in heart failure (I50.-)
  • pleural effusion in systemic lupus erythematosus (M32.13)

Use additional code — inherited from Chapter 10

Report an additional code alongside J91 to fully describe the condition. J91 is sequenced first.

  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Excludes2 — not included here — inherited from Chapter 10

The conditions below are not part of J91, but a patient may have both at the same time. When documentation supports it, J91 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

What codes fall under J91? (2)

How long has J91 existed?

J91 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.