Malignant pleural effusion
ICD-10 J91.0 is a billable code used to indicate a diagnosis of malignant pleural effusion.
Malignant pleural effusion is characterized by the accumulation of fluid in the pleural space due to malignancy, often associated with lung cancer, breast cancer, or lymphoma. Clinically, patients may present with symptoms such as dyspnea, chest pain, and cough, which can significantly impair respiratory function. The pleura, a double-layered membrane surrounding the lungs, becomes compromised due to tumor invasion or obstruction of lymphatic drainage, leading to fluid buildup. Disease progression can vary, with some patients experiencing rapid deterioration while others may have a more chronic course. Diagnostic considerations include imaging studies such as chest X-rays or CT scans, which can reveal the presence of pleural effusion, and thoracentesis, which allows for fluid analysis to determine the etiology. Cytological examination of the pleural fluid is crucial for confirming malignancy. Early diagnosis and management are essential to alleviate symptoms and improve quality of life.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J91.0 specifically covers pleural effusions that are attributable to malignant conditions, including but not limited to lung cancer, breast cancer, and lymphomas. It is essential to confirm the malignancy through cytological analysis of pleural fluid.
J91.0 should be used when the pleural effusion is confirmed to be malignant. If the effusion is due to non-malignant causes, such as heart failure or infection, other codes like J90 should be selected.
Documentation should include clinical findings, imaging results, and cytological analysis of pleural fluid that confirms malignancy. Detailed notes on the patient's symptoms and treatment plan are also necessary.
