ICD-10 Code for Pleurisy

The default ICD-10-CM 2027 code for pleurisy (acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) is R09.1 – Pleurisy. More specific codes depend on the details documented, as listed in the official index (7 codes, 7 billable).

Main code: R09.1 – Pleurisy
Billable: Yes

Index entries for Pleurisy

with
- adherent pleura – J86.0
- effusion – J90
  - chylous, chyliform – J94.0
  - tuberculous (non primary) – A15.6
    - primary (progressive) – A15.7
- tuberculosis – see Pleurisy, tuberculous (non primary)
encysted – see Pleurisy, with effusion
exudative – see Pleurisy, with effusion
fibrinopurulent, fibropurulent – see Pyothorax
hemorrhagic – see Hemothorax
pneumococcal – J90
purulent – see Pyothorax
septic – see Pyothorax
serofibrinous – see Pleurisy, with effusion
seropurulent – see Pyothorax
serous – see Pleurisy, with effusion
staphylococcal – J86.9
streptococcal – J90
suppurative – see Pyothorax
traumatic (post) (current) – see Injury, intrathoracic, pleura
tuberculous (with effusion) (non primary) – A15.6
- primary (progressive) – A15.7

How to choose the right code

Start with the main term, then pick the indented subterm that matches the documentation (type, cause, site, laterality, episode of care). Always confirm the code in the tabular list: follow its Excludes1/Excludes2, “code first” and “use additional code” notes, and add a 7th character where required.

Source: CDC/NCHS ICD-10-CM FY2027 alphabetic index.