octoHealth

J91.0

Billable

Malignant pleural effusion

Chapter 10: Diseases of the respiratory system

Additional Information

From parent codes: J00-J99 (Chapter 10)

Excludes 2 — Not Included HereFrom J00-J99

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • 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)
Use Additional CodeFrom J00-J99

The 'use additional code' note instructs that a secondary code should be added to provide more detail.

  • 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)
NotesFrom J00-J99

Additional notes from parent codes that apply to this code.

  • 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).

Inpatient DRG Payments

DRG 1808,157 discharges

Respiratory Neoplasms With Mcc

Avg. Medicare Payment

$14,696

Total Payment$18,205
Patient Responsibility$3,510
Hospital Charge$93,917
DRG 181699 discharges

Respiratory Neoplasms With Cc

Avg. Medicare Payment

$9,508

Total Payment$13,073
Patient Responsibility$3,565
Hospital Charge$61,131