ICD Code J86.9

ICD code J86.9 is pyothorax without fistula, which means there is pus in the pleural cavity (the space around the lungs) but no abnormal connection (fistula) to another body part.

1. Presence of pus within the pleural cavity confirmed by imaging or thoracentesis

2. Clinical signs of infection such as fever, chills, or leukocytosis

3. Symptoms including pleuritic chest pain, cough, and dyspnea

4. Absence of a communicating fistula between the pleural space and bronchial tree or external environment

5. Exclusion of other causes of pleural effusion such as malignancy, heart failure, or tuberculosis

Relevant CPT codes that may be used to treat ICD code J86.9 include:

- 32551 (Tube thoracostomy, includes water seal)

- 32554 (Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent)

- 32556 (Pleural drainage, percutaneous, with imaging guidance; initial catheter)

- 32557 (Pleural drainage, percutaneous, with imaging guidance; each additional catheter)

- 32405 (Biopsy, lung or mediastinum, percutaneous needle)

- 32650 (Thoracoscopy, surgical; with pleural biopsy)

- 32653 (Thoracoscopy, surgical; with therapeutic wedge resection)

- 32560 (Instillation, agent into pleural cavity, for sclerosis)

These CPT codes are commonly associated with the management and treatment of J86.9.

Schedule a demo to see how MD Clarity’s RevFind software can automatically read your contracts and identify underpayments for CPT codes associated with ICD code J86.9. Discover how easy it is to ensure you’re being paid accurately for every claim—book your personalized walkthrough today.