ICD-10 · PDGM grouping
J90-J94 — Other diseases of the pleura
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
17
No clinical group
4
A period cannot be grouped from these.
Barred as primary
1
CMS rejects these in the primary position.
Where these codes group
13 of the 17 codes in J90-J94 group to MMTA - Respiratory. A further 4 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in J90-J94
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in J90-J94
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| J90 | Pleural effusion, not elsewhere classified | L | Can lead a claim |
| J910 | Malignant pleural effusion | None | Cannot lead a claim |
| J918 | Pleural effusion in other conditions classified elsewhere | None | Cannot lead a claim |
| J920 | Pleural plaque with presence of asbestos | L | Can lead a claim |
| J929 | Pleural plaque without asbestos | L | Can lead a claim |
| J930 | Spontaneous tension pneumothorax | L | Can lead a claim |
| J9311 | Primary spontaneous pneumothorax | L | Can lead a claim |
| J9312 | Secondary spontaneous pneumothorax | None | Cannot lead a claim |
| J9381 | Chronic pneumothorax | L | Can lead a claim |
| J9382 | Other air leak | L | Can lead a claim |
| J9383 | Other pneumothorax | L | Can lead a claim |
| J939 | Pneumothorax, unspecified | L | Can lead a claim |
| J940 | Chylous effusion | L | Can lead a claim |
| J941 | Fibrothorax | L | Can lead a claim |
| J942 | Hemothorax | L | Can lead a claim |
| J948 | Other specified pleural conditions | L | Can lead a claim |
| J949 | Pleural condition, unspecified | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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