ICD-10-CM Code J86
Pyothorax
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.ICD Code J86 is a non-billable code. To code a diagnosis of this type, you must use one of the two child codes of J86 that describes the diagnosis 'pyothorax' in more detail.
- J86 Pyothorax NON-BILLABLE
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- BILLABLE J86.0 Pyothorax with fistula
- BILLABLE J86.9 Pyothorax without fistula
The ICD code J86 is used to code Pleural empyema
Pleural empyema, also known as pyothorax or purulent pleuritis, is empyema (an accumulation of pus) in the pleural cavity that can develop when bacteria invade the pleural space, usually in the context of a pneumonia. It is one of various kinds of pleural effusion. There are three stages: exudative, when there is an increase in pleural fluid with or without the presence of pus; fibrinopurulent, when fibrous septa form localized pus pockets; and the final organizing stage, when there is scarring of the pleura membranes with possible inability of the lung to expand. Simple pleural effusions occur in up to 40% of bacterial pneumonias. They are usually small and resolve with appropriate antibiotic therapy. If however an empyema develops additional intervention is required.
| Specialty: | Pulmonology |
| MeSH Code: | D016724 |
| ICD 9 Code: | 510 |
CT chest showing large right sided hydro-pneumothorax from pleural empyema. Arrows A: air, B: fluid
Coding Notes for J86 Info for medical coders on how to properly use this ICD-10 code
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Additional Code Note:
Use Additional Code
Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. - Code See Section B95-B97 to identify infectious agent.
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Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Abscess of lung - instead, use code J85.-
- Pyothorax due to tuberculosis - instead, use code A15.6
ICD-10-CM Alphabetical Index References for 'J86 - Pyothorax'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code J86. Click on any term below to browse the alphabetical index.