Coding and coverage · ICD-10-CM

J93 Pneumothorax and air leak

Not billable (header)Chapter 10

Report one of the more specific codes below.

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Codes under this one

  • J93.0 Spontaneous tension pneumothorax
  • J93.1 Other spontaneous pneumothoraxHeader
  • J93.8 Other pneumothorax and air leakHeader
  • J93.9 Pneumothorax, unspecified

Instructional notes

Chapter 10

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use additional codeAdd a second code for the full picture.
  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
Notes
  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

This code

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • congenital or perinatal pneumothorax (P25.1)
  • postprocedural air leak (J95.812)
  • postprocedural pneumothorax (J95.811)
  • traumatic pneumothorax (S27.0)
  • tuberculous (current disease) pneumothorax (A15.-)
  • pyopneumothorax (J86.-)

Chapter 10: Diseases of the respiratory system · J90-J94 Other diseases of the pleura (J90-J94)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.