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2025 ICD-10-CM code J94

Other pleural conditions

It is important to exclude conditions such as pleurisy NOS (R09.1), traumatic hemothorax (S27.1), and tuberculous pleural conditions (A15.-) when using J94.

Medical necessity is determined by the underlying cause and severity of the pleural condition. Treatment may include thoracentesis, chest tube placement, or other interventions as needed.

Pulmonologists, thoracic surgeons, and other specialists managing respiratory conditions are responsible for diagnosing and treating pleural conditions.

In simple words: This code refers to other conditions affecting the pleura, the membrane surrounding the lungs.

This code encompasses pleural conditions not otherwise specified, including chylothorax, fibrothorax, and hemothorax.

Example 1: A patient presents with shortness of breath and chest pain, and imaging reveals a chylothorax (J94.0), a condition where lymphatic fluid leaks into the pleural space., A patient with a history of asbestos exposure is found to have pleural plaques (J92), but also has additional pleural thickening and is coded as J94.1 (Fibrothorax)., A patient experiences hemothorax (J94.2), an accumulation of blood in the pleural cavity, following blunt chest trauma.

Documentation should include imaging findings (e.g., chest X-ray, CT scan), clinical presentation (e.g., symptoms, physical exam), and any relevant history (e.g., trauma, asbestos exposure).

** For more detailed information or complex scenarios, consult specialized coding resources or iFrameAI.

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.