J91

Pleural effusion in conditions classified elsewhere

FY2027Chapter 10: Diseases of the respiratory system/J90–J94 Other diseases of the pleura

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

J91 is a non-billable ICD-10-CM code category for pleural effusion in conditions classified elsewhere. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are J91.0 Malignant pleural effusion and J91.8 Pleural effusion in other conditions classified elsewhere. Its coding notes include a Use additional code instruction and 11 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (7 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • 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. Both codes may be reported if the patient has both conditions.

This code
  • pleural effusion in heart failure (I50.-)
  • pleural effusion in systemic lupus erythematosus (M32.13)
Also from chapter/block level (9 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • 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)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 10 Diseases of the respiratory system
  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

More specific codes under J91 2