Non-Billable / Non-Specific Code
ICD-10-CM J94 is the diagnosis code for Other pleural conditions. This code falls under the section "Other diseases of the pleura" within Chapter 10 — Diseases of the respiratory system (J00-J99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as J94. They are mutually exclusive:
Understanding where J94 sits in the ICD-10-CM classification helps ensure proper coding:
No, J94 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
J94 is the ICD-10-CM diagnosis code for "Other pleural conditions". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
J94 is located in Section J90-J94 — "Other diseases of the pleura" within Chapter 10 of the ICD-10-CM Tabular List.
J94 has 5 sub-code(s) that provide more specific detail: J94.0, J94.1, J94.2, J94.8, J94.9.
Use J94 when the patients documented diagnosis matches "Other pleural conditions" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Other pleural conditions is J94.
No, J94 is non-billable. Use a more specific sub-code for primary diagnosis billing.
J94 is in Chapter 10 of the ICD-10-CM Tabular List.
Type 1 Excludes for J94 include: pleurisy NOS (R09.1); traumatic hemopneumothorax (S27.2); traumatic hemothorax (S27.1) and more.
Yes, J94 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.